Provider Demographics
NPI:1598467805
Name:TOGUN, ADEOLA O (MD)
Entity Type:Individual
Prefix:
First Name:ADEOLA
Middle Name:O
Last Name:TOGUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S PACA ST FL 8
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1644
Mailing Address - Country:US
Mailing Address - Phone:800-492-5538
Mailing Address - Fax:
Practice Address - Street 1:110 S PACA ST FL 8
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1644
Practice Address - Country:US
Practice Address - Phone:800-492-5538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program