Faditan, Babajide Eyitayo

Faditan, Babajide Eyitayo is an individual health care provider with primary practice located at 1450 Mercantile Ln Ste 217 , Largo MD 20774-5388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Faditan, Babajide Eyitayo can be contacted via phone (301) 341-5000.

Contact Information

Primary practice address
1450 Mercantile Ln Ste 217 Largo MD 20774-5388
Fax: (301) 341-5001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D74464 Maryland

Profile Details

NPI number 1699087403
LBN Legal business name Faditan, Babajide Eyitayo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2010
Last updated Apr 7th, 2025 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699087403 NPPES
Maryland MEDICAID 378100300

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