Provider Demographics
NPI:1902594708
Name:OGUNDIPE, TEMITOPE JOYCE (MD)
Entity Type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:JOYCE
Last Name:OGUNDIPE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TEMITOPE
Other - Middle Name:JOYCE
Other - Last Name:DAVID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2235 CONQUEST WAY
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2679
Mailing Address - Country:US
Mailing Address - Phone:443-712-3859
Mailing Address - Fax:
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-694-5465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program