Doctor Name: | ABRAHAM O OSINBOWALE |
NPI Number: | 1043281686 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 350497260 |
Business Practice Address: | 318 E University Ave Primary Care Of Cincinnati Inc Cincinnati, OH - 452192431 |
Business Phone Number: | 5139611100 |
Business Fax Number: | 5139617156 |
Mailing Address: | 318 E University Ave, Primary Care Of Cincinnati Inc CINCINNATI |
State: | OH |
Postal Code: | 452192431 |
Phone Number: | 5139611100 |
Fax Number: | 5139617156 |
NPI Enumeration Date: | 01/31/2006 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 350497260 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |