Provider Demographics
NPI:1932336005
Name:AKHIGBE, OMOIKHEFE GBEMISOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:OMOIKHEFE
Middle Name:GBEMISOLA
Last Name:AKHIGBE
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 1:11810 W MARKET STREET STE 300
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2703
Mailing Address - Country:US
Mailing Address - Phone:240-425-4824
Mailing Address - Fax:240-425-4859
Practice Address - Street 1:11810 W MARKET PL
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2703
Practice Address - Country:US
Practice Address - Phone:301-458-0523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09567800207V00000X
MDD0075912207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology