Individual provider · Type 1 NPI

Oyinemi Iyebote, MD

Student in an Organized Health Care Education/Training Program · Hagerstown, MD

NPI number 1104768415 Active

Practice location

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Call (301) 790-8000 Map

Mailing address

8469 Carmela Cir
Springfield, VA 22153-4017

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104768415

Oyinemi Iyebote, MD's National Provider Identifier is 1104768415, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hagerstown, MD. The record was last updated on Apr 7, 2026.