1033964465 NPI number — MR. FOLAJIMI JOSIAH ATUNDE M.D

Table of content: MR. FOLAJIMI JOSIAH ATUNDE M.D (NPI 1033964465)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033964465 NPI number — MR. FOLAJIMI JOSIAH ATUNDE M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ATUNDE
Provider First Name:
FOLAJIMI
Provider Middle Name:
JOSIAH
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033964465
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/19/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SINAI HOSPITAL OF BALTIMORE
Provider Second Line Business Mailing Address:
2401, W. BELVEDERE AVENUE, SUITE #C104
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-601-7649
Provider Business Mailing Address Fax Number:
410-601-6308

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SINAI HOSPITAL OF BALTIMORE
Provider Second Line Business Practice Location Address:
2401, W. BELVEDERE AVENUE, SUITE #C104
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-601-7649
Provider Business Practice Location Address Fax Number:
410-601-6308
Provider Enumeration Date:
04/19/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com