Provider Demographics
NPI:1174100531
Name:OGUNLEYE, CHRISTIANAH (MD)
Entity type:Individual
Prefix:
First Name:CHRISTIANAH
Middle Name:
Last Name:OGUNLEYE
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 1:5505 W OREM DR STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-1277
Mailing Address - Country:US
Mailing Address - Phone:713-283-1039
Mailing Address - Fax:
Practice Address - Street 1:5505 W OREM DR STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-1277
Practice Address - Country:US
Practice Address - Phone:713-283-1039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU9044208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics