Individual provider · NPI-1

Oluwaseun Babalola, M.D.

Radiology, Diagnostic Radiology · Glen Burnie, MD

NPI number1053676866
StatusActive
Last updated in NPPESNov 8, 2018

Details

NPI
1053676866
Entity type
Individual (NPI-1)
Name
Oluwaseun Babalola
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2012
Last updated
Nov 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyD83177MDYes

Practice location

1600 Crain Hwy S Ste 101
Glen Burnie, MD 21061-6440

Phone 410-918-3200 · Fax 410-918-3425

Mailing address

7253 Ambassador Rd
Baltimore, MD 21244-2710

Phone 443-436-1221 · Fax 443-436-1256

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