Provider Demographics
NPI:1679720437
Name:OGUNTOYE-OUMA, MOROHUNRANTI OKUNLOLAMIWA (MD)
Entity type:Individual
Prefix:DR
First Name:MOROHUNRANTI
Middle Name:OKUNLOLAMIWA
Last Name:OGUNTOYE-OUMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MOROHUNRANTI
Other - Middle Name:OKUNLOLAMIWA
Other - Last Name:OGUNTOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:DEPT OF OPHTHALMOLOGY BLDG 85T
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-1339
Mailing Address - Fax:301-400-2961
Practice Address - Street 1:DEPT OF OPHTHALMOLOGY BLDG 85T
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-295-1339
Practice Address - Fax:301-400-2961
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD89083207W00000X
GA64166208D00000X
MDD0089083207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice