Provider Demographics
NPI:1902149149
Name:OYEDEJI, CHARITY I (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARITY
Middle Name:I
Last Name:OYEDEJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHARITY
Other - Middle Name:I
Other - Last Name:IDOWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:40 DUKE MEDICINE CIR # 2N
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-4000
Mailing Address - Country:US
Mailing Address - Phone:832-244-0755
Mailing Address - Fax:919-681-6174
Practice Address - Street 1:40 DUKE MEDICINE CIR # 2N
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-684-0628
Practice Address - Fax:919-681-6174
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2017-01321207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1902149149Medicaid