Provider Demographics
NPI:1952786840
Name:ELEGBEDE, MFON VALENCIA UMOREN (MD)
Entity type:Individual
Prefix:
First Name:MFON VALENCIA
Middle Name:UMOREN
Last Name:ELEGBEDE
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 1:10045 RED RUN BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5916
Mailing Address - Country:US
Mailing Address - Phone:410-363-2240
Mailing Address - Fax:410-363-3858
Practice Address - Street 1:10045 RED RUN BLVD STE 135
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5916
Practice Address - Country:US
Practice Address - Phone:410-363-2240
Practice Address - Fax:410-363-3858
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2025-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0093838208000000X
OH35.132904208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics