Provider Demographics
NPI:1972749034
Name:OHIAGBAJI, FRANKLIN CHINAGOROM (MD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:CHINAGOROM
Last Name:OHIAGBAJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:101 ROBESON ST
Mailing Address - Street 2:STE 202
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-5552
Mailing Address - Country:US
Mailing Address - Phone:910-615-1630
Mailing Address - Fax:
Practice Address - Street 1:101 ROBESON ST
Practice Address - Street 2:STE 202
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5552
Practice Address - Country:US
Practice Address - Phone:910-615-1630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01121207R00000X, 207RG0300X
VA0101263433207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine