Enilari, Oladunni Modinat

Enilari, Oladunni Modinat is an individual health care provider with primary practice located at 12200 Warwick Blvd Ste 290 , Newport News VA 23601-2344. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Enilari, Oladunni Modinat can be contacted via phone (757) 534-5454.

Contact Information

Primary practice address
12200 Warwick Blvd Ste 290 Newport News VA 23601-2344
Phone: (757) 534-5454
Fax: (757) 534-5491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2014-01432 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101266889 Virginia

Profile Details

NPI number 1275820664
LBN Legal business name Enilari, Oladunni Modinat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2011
Last updated Aug 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275820664 NPPES
North Carolina Other 1275820664 TRICARE
North Carolina MEDICAID 1275820664 TRICARE
North Carolina Other 5114141 TRICARE
North Carolina Other Q0143H TRICARE
North Carolina Other 1275820664 TRICARE
North Carolina Other 1869Q TRICARE

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