Daramola, John Bamidele
Daramola, John Bamidele is an sole proprietor health care provider with primary practice located at 505 N Ridgeway Dr Suite 282, Cleburne TX 76033-5118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Daramola, John Bamidele can be contacted via phone (817) 556-0201.Contact Information
Primary practice address
505 N Ridgeway Dr Suite 282
Cleburne TX 76033-5118
Phone: (817) 556-0201
Fax: (817) 556-0213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N4369 | Texas |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | N4369 | Texas |
Profile Details
| NPI number | 1013995810 |
|---|---|
| LBN Legal business name | Daramola, John Bamidele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Oct 30th, 2014 - about 12 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 | 1013995810 | NPPES |
| South Carolina | MEDICAID | 231519 | |
| South Carolina | Other | P00365956 |
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