Individual
DR. OLUROTIMI BADERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5240 ROBINSON RD, JACKSON, MS 39204-4134
(601) 398-0904
(601) 398-2149
Mailing address
5240 ROBINSON RD, JACKSON, MS 39204-4134
(601) 398-0904
(601) 398-2149
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21527
MS
207RN0300X
Nephrology Physician
21527
MS
Other
Enumeration date
07/03/2008
Last updated
07/28/2015
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