Provider Demographics
NPI:1568641561
Name:OYEDIRAN, OYEBUKOLA A (MD)
Entity type:Individual
Prefix:
First Name:OYEBUKOLA
Middle Name:A
Last Name:OYEDIRAN
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 1:4696 MILLENNIUM DR STE 110
Mailing Address - Street 2:
Mailing Address - City:BELCAMP
Mailing Address - State:MD
Mailing Address - Zip Code:21017-1556
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:833-764-5782
Practice Address - Street 1:4696 MILLENNIUM DR STE 110
Practice Address - Street 2:
Practice Address - City:BELCAMP
Practice Address - State:MD
Practice Address - Zip Code:21017-1556
Practice Address - Country:US
Practice Address - Phone:410-299-4912
Practice Address - Fax:833-764-5782
Is Sole Proprietor?:No
Enumeration Date:2007-10-26
Last Update Date:2025-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071717208000000X
OH35090503208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics