Obisesan, Thomas

Obisesan, Thomas is an individual health care provider with primary practice located at 2041 Georgia Ave Nw , Washington DC 20060-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Obisesan, Thomas can be contacted via phone (202) 865-3290.

Contact Information

Primary practice address
2041 Georgia Ave Nw Washington DC 20060-0001
Phone: (202) 865-3290
Fax: (202) 865-3833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD19950 District of Columbia

Profile Details

NPI number 1295894426
LBN Legal business name Obisesan, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Nov 22nd, 2019 - about 7 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 1295894426 NPPES
Maryland MEDICAID 758141601
Maryland MEDICAID 010015413
Maryland MEDICAID 023971400

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