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Temitayo Akinsode Ogundipe

Internal Medicine

Allopathic & Osteopathic Physicians

3300 Gallows Rd, Falls Church, VA 22042-3307

PECOS Enrollment

This provider is enrolled in PECOS as TEMITAYO OGUNDIPE.

Based on the most recent information from CMS, provider Temitayo Akinsode Ogundipe is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053775148
Provider Type
Individual
Full Name
Ogundipe, Temitayo Akinsode
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/5/2016
Last Updated
11/11/2022

Contact Information

Practice Location

3300 Gallows Rd, Falls Church, VA 22042-3307

(703) 776-4001

(703) 776-7113

Mailing Location

100 Sentara Cir Rm 2c, Williamsburg, VA 23188-5713

(757) 984-7217

(757) 984-7210

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101269988 Virginia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 0101269988 Virginia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Temitayo Akinsode Ogundipe

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

Code

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