Individual
OLUWASEUN BABALOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 CRAIN HWY S STE 101, GLEN BURNIE, MD 21061-6440
(410) 918-3200
(410) 918-3425
Mailing address
7253 AMBASSADOR RD, BALTIMORE, MD 21244-2710
(443) 436-1221
(443) 436-1256
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D83177
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121539600
—
MD
Enumeration date
07/08/2012
Last updated
11/08/2018
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