Olutade, Babatunde
Olutade, Babatunde is an individual health care provider with primary practice located at 5903 Ridgewood Rd Suite 340, Jackson MS 39211-3700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Olutade, Babatunde can be contacted via phone (601) 899-3340.Contact Information
Primary practice address
5903 Ridgewood Rd Suite 340
Jackson MS 39211-3700
Phone: (601) 899-3340
Fax: (601) 899-3343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 015731 | Mississippi |
Profile Details
| NPI number | 1316050750 |
|---|---|
| LBN Legal business name | Olutade, Babatunde |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1316050750 | NPPES |
| Mississippi | MEDICAID | 0119520 |
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