Individual
DR. BABATUNDE OLADIRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 E REED ST, HAYTI, MO 63851-1242
(573) 359-3660
(573) 359-3521
Mailing address
907 E REED ST, P O BOX 489, HAYTI, MO 63851-1242
(573) 359-3660
(573) 359-3521
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-12122
AR
208600000X
Surgery Physician
35613
MO
208600000X
Surgery Physician
Primary
E-12122
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208438002
—
MO
Enumeration date
08/24/2006
Last updated
03/05/2020
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