Provider Demographics
NPI:1780843581
Name:OGUNDELE, OLUFUNMILAYO (MD)
Entity Type:Individual
Prefix:
First Name:OLUFUNMILAYO
Middle Name:
Last Name:OGUNDELE
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 1:5401 OLD COURT RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-5103
Mailing Address - Country:US
Mailing Address - Phone:410-521-5973
Mailing Address - Fax:410-521-7669
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:SCAIFE HALL, ROOM 613
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-647-3136
Practice Address - Fax:412-647-8060
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD443823207P00000X, 207R00000X, 207RC0200X
MDD76548207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine