Individual
BABATUNDE A OLUMIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 VETERANS MEMORIAL PKWY STE 300, SAINT CHARLES, MO 63303-2106
(636) 669-2350
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
10027
ND
207R00000X
Internal Medicine Physician
Primary
2018002213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13561
—
ND
Enumeration date
09/20/2006
Last updated
10/26/2020
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