Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Olufunmilola Modupe Ogbonlowo, MD

Individual provider Family Medicine Physician · NPI 1174926679

Dr. Olufunmilola Modupe Ogbonlowo, MD is a Family Practice in Lansdowne, Virginia. Qualified in 2014, 12 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Michigan and Virginia.

Years since qualifying
12
Licensed in
MI, VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19440 Golf Vista Plz Ste 120
Lansdowne, VA 20176-8264
Phone: (571) 293-2424
Fax: (833) 913-2348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101263837 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301107153 (MI)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence 10421511 (VA)

Record details

NPI number1174926679
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 29, 2014
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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