Individual ProviderOlubayo Oludara-FadareFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address7347 Hanover Pkwy Ste B, Greenbelt, MD 20770-3663(301) 220-2277(609) 213-0237PECOS EnrollmentBased on the most recent information from CMS, provider Olubayo Oludara-Fadare is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1750563565Provider TypeIndividualFull NameOludara-Fadare, OlubayoCredentialM.DGenderMaleSole ProprietorYesEnumeration Date12/4/2007Last Updated7/7/2020Contact InformationPractice LocationPractice Address7347 Hanover Pkwy Ste B, Greenbelt, MD 20770-3663Phone(301) 220-2277Fax(301) 220-4464Mailing LocationMailing AddressPO Box 837, Greenbelt, MD 20768-0837Phone(609) 213-0237FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseD0070459MarylandCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseD0070459MarylandCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense01064553AIndianaCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseD0070459Maryland