Samuel Olaniyi Bada, M.D.
Internal Medicine in Jackson, TN. Individual provider (NPI-1).
NPI number1770530586
StatusActive
Last updated in NPPESOct 2, 2012
Details
- NPI
- 1770530586
- Entity type
- Individual (NPI-1)
- Name
- Samuel Olaniyi Bada
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 27, 2006
- Last updated
- Oct 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD34358 | TN | Yes |
Practice location
1673 N Royal StJackson, TN 38301-3607
Phone 731-265-1997 · Fax 731-265-0511
Mailing address
1673 N Royal StJackson, TN 38301-3607
Phone 731-265-1997 · Fax 731-265-0511
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