Provider Demographics
NPI:1619656196
Name:OSHINOWO, DORIS ONOYE (MPIA)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:ONOYE
Last Name:OSHINOWO
Suffix:
Gender:F
Credentials:MPIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 BAIKAL LOOP
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7051
Mailing Address - Country:US
Mailing Address - Phone:774-277-0938
Mailing Address - Fax:
Practice Address - Street 1:2409 BAIKAL LOOP
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7051
Practice Address - Country:US
Practice Address - Phone:774-277-0938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator