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Individual

DR. OLUKAYODE ADEOLA BAMGBELU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20917
MS
207R00000X
Internal Medicine Physician
42781
KY
207R00000X
Internal Medicine Physician
45284
TN
207R00000X
Internal Medicine Physician
Primary
ME145551
FL
207R00000X
Internal Medicine Physician
Q1793
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05430527
MS
01
1B9305
MEDICARE
MS
Enumeration date
11/23/2008
Last updated
08/12/2020
Update your record

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