Okubadejo, Mfonobong I

Okubadejo, Mfonobong I is an individual health care provider with primary practice located at 5282 Medical Dr Ste 180 , San Antonio TX 78229-5384. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Okubadejo, Mfonobong I can be contacted via phone (210) 450-9850.

Contact Information

Primary practice address
5282 Medical Dr Ste 180 San Antonio TX 78229-5384
Phone: (210) 450-9850
Fax: (210) 450-6095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X S9575 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X S9575 Texas

Profile Details

NPI number 1376996249
LBN Legal business name Okubadejo, Mfonobong I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2016
Last updated Mar 9th, 2022 - about 4 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 1376996249 NPPES
Texas Other 428794802 CSHCN
Texas MEDICAID 428794801 CSHCN

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