Provider Demographics
NPI:1174100796
Name:OJEAGA, MACAULAY AIGBE JR (MD)
Entity type:Individual
Prefix:DR
First Name:MACAULAY
Middle Name:AIGBE
Last Name:OJEAGA
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 N CYNTHIA ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1932
Mailing Address - Country:US
Mailing Address - Phone:956-342-9095
Mailing Address - Fax:
Practice Address - Street 1:7108 N CYNTHIA ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-1932
Practice Address - Country:US
Practice Address - Phone:956-342-9095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program