Provider Demographics
NPI:1225228117
Name:FADIREPO, BABARINDE OLAGOKE (MD)
Entity Type:Individual
Prefix:
First Name:BABARINDE
Middle Name:OLAGOKE
Last Name:FADIREPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RINDE
Other - Middle Name:OLAGOKE
Other - Last Name:FADIREPO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3059 SOLOMONS ISLAND RD
Mailing Address - Street 2:SUITE F-2
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-1433
Mailing Address - Country:US
Mailing Address - Phone:410-956-3394
Mailing Address - Fax:410-956-3324
Practice Address - Street 1:3059 SOLOMONS ISLAND RD
Practice Address - Street 2:SUITE F-2
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-1433
Practice Address - Country:US
Practice Address - Phone:410-956-3394
Practice Address - Fax:410-956-3324
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD68198207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine