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Individual

DR. ADEGBENGA A. BANKOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101245177
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810014657
WV
01
540506332004
TRICARE
VA
Enumeration date
09/07/2007
Last updated
11/11/2025
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