Taiwo Babatunde Adedipe, M.D
Family Medicine in Las Cruces, NM. Individual provider (NPI-1).
NPI number1407207806
StatusActive
Last updated in NPPESApr 21, 2020
Details
- NPI
- 1407207806
- Entity type
- Individual (NPI-1)
- Name
- Taiwo Babatunde Adedipe
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2016
- Certification date
- Apr 21, 2020
- Last updated
- Apr 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | RS2016-0468 | NM | Yes |
| 207Q00000X | Family Medicine | 34534 | OK |
Practice location
2450 S Telshor BlvdLas Cruces, NM 88011-5069
Phone 575-521-5385
Mailing address
2450 S Telshor BlvdLas Cruces, NM 88011-5069
Phone 575-521-5385
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