Fayoda, Bolajoko O

Fayoda, Bolajoko O is an individual health care provider with primary practice located at 3821 Masthead St Ne , Albuquerque NM 87109-4679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fayoda, Bolajoko O can be contacted via phone (505) 998-7400.

Contact Information

Primary practice address
3821 Masthead St Ne Albuquerque NM 87109-4679
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 83325 Wisconsin
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD2025-0657 New Mexico

Profile Details

NPI number 1821470634
LBN Legal business name Fayoda, Bolajoko O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Apr 10th, 2026 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821470634 NPPES
Other 7S1114 MEDICARE
MEDICAID N0026546 MEDICARE

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