Biobaku, David Olugbenga
Biobaku, David Olugbenga is an sole proprietor health care provider with primary practice located at 200 Fleetwood Dr , Easley SC 29640-2022. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Biobaku, David Olugbenga can be contacted via phone (864) 442-7200.Contact Information
Primary practice address
200 Fleetwood Dr
Easley SC 29640-2022
Phone: (864) 442-7200
Fax: (864) 442-8279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 334236 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50637 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 89474 | South Carolina |
Profile Details
| NPI number | 1821409855 |
|---|---|
| LBN Legal business name | Biobaku, David Olugbenga |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2014 |
| Last updated | May 30th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821409855 | NPPES |
| Kentucky | MEDICAID | 7100512680 | |
| Kentucky | MEDICAID | 0244324 | |
| Kentucky | MEDICAID | PENDING |
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