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Individual

DR. BAMIDELE FAYEMI KAMMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3410
(510) 601-3968
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
(415) 883-1836

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
G85150
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G851500
CA
Enumeration date
07/05/2006
Last updated
07/08/2007
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