Provider Demographics
NPI:1568882777
Name:KAMSON, DAVID OLAYINKA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:OLAYINKA
Last Name:KAMSON
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:OLAYINKA
Other - Middle Name:DAVID
Other - Last Name:KAMSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:201 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0031
Mailing Address - Country:US
Mailing Address - Phone:410-955-8837
Mailing Address - Fax:410-614-9335
Practice Address - Street 1:201 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-8837
Practice Address - Fax:410-614-9335
Is Sole Proprietor?:No
Enumeration Date:2014-04-27
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD853432084N0400X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology