Provider Demographics
NPI:1881744878
Name:DADA, M. OLUBUNMI (MD, PHD)
Entity type:Individual
Prefix:
First Name:M.
Middle Name:OLUBUNMI
Last Name:DADA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6829 N 72ND ST
Mailing Address - Street 2:STE 3100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-1724
Mailing Address - Country:US
Mailing Address - Phone:402-572-3900
Mailing Address - Fax:402-572-3793
Practice Address - Street 1:6829 N 72ND ST
Practice Address - Street 2:SUITE 3100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1723
Practice Address - Country:US
Practice Address - Phone:402-572-3900
Practice Address - Fax:402-572-3793
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2020-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE20173207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine