Provider Demographics
NPI:1437141389
Name:OYEWO, ABRAHAM A (MD)
Entity type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:A
Last Name:OYEWO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:720 WESTVIEW DR SW
Mailing Address - Street 2:HARRIS BUILDING SUITE 100A
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-1458
Mailing Address - Country:US
Mailing Address - Phone:404-756-1400
Mailing Address - Fax:404-786-1402
Practice Address - Street 1:80 JESSIE HILL
Practice Address - Street 2:GRADY HEALTH SYSTEM
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-616-7085
Practice Address - Fax:404-756-1402
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2016-12-22
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Provider Licenses
StateLicense IDTaxonomies
GA047127207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00907222AMedicaid
GA00907222AMedicaid
GA11BDTFWMedicare ID - Type Unspecified