Individual
TOLANI FAUSAT ABDULKADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
815 E PRATT ST, BALTIMORE, MD 21202-4889
(410) 637-5720
(410) 637-5661
Mailing address
815 E PRATT ST STE 209, BALTIMORE, MD 21202-4889
(410) 637-5720
(410) 637-5661
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0066959
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101329370
—
PA
05
—
416179300
—
MD
Enumeration date
03/22/2006
Last updated
06/26/2021
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