Provider Demographics
NPI:1346225703
Name:SOKAN, BABATUNDE O (MD)
Entity Type:Individual
Prefix:DR
First Name:BABATUNDE
Middle Name:O
Last Name:SOKAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4165 JOHN ALDEN LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2043
Mailing Address - Country:US
Mailing Address - Phone:859-684-0005
Mailing Address - Fax:
Practice Address - Street 1:22 CLINIC DR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-2161
Practice Address - Country:US
Practice Address - Phone:859-987-0074
Practice Address - Fax:859-987-0098
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37473207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYH26306Medicare UPIN