Individual
DR. OLUWATOYIN FATAI BAMGBOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-5720
(336) 713-4500
(336) 713-4501
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-4500
(336) 713-4501
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
2025-01388
NC
2080P0210X
Pediatric Nephrology Physician
220028
NY
2080P0210X
Pediatric Nephrology Physician
23259
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06572063
—
MS
05
—
1025704
—
LA
Enumeration date
03/09/2006
Last updated
07/31/2025
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