Provider Demographics
NPI:1013070713
Name:OSUNBOR, ONOISEWEALU ORHUARE
Entity Type:Individual
Prefix:MR
First Name:ONOISEWEALU
Middle Name:ORHUARE
Last Name:OSUNBOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10126 OLD ANNAPOLIS RD
Mailing Address - Street 2:OFF ANNAPOLIS ROAD
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2015
Mailing Address - Country:US
Mailing Address - Phone:240-524-0102
Mailing Address - Fax:
Practice Address - Street 1:10126 OLD ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2015
Practice Address - Country:US
Practice Address - Phone:240-524-0102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies