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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821626078

Imafidon George Edogun, MD is a Student in an Organized Health Care Education/Training Program in San Leandro, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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

16263 Maubert Ave
San Leandro, CA 94578-2109
Phone: (510) 461-0391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1821626078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2020
Last updated in NPPESAugust 17, 2023
Certification dateMarch 29, 2021

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