Provider Demographics
NPI:1346532934
Name:OLADAPO, FOLASADE ABIOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:FOLASADE
Middle Name:ABIOLA
Last Name:OLADAPO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BAKER AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1385
Mailing Address - Country:US
Mailing Address - Phone:845-483-5951
Mailing Address - Fax:845-483-5775
Practice Address - Street 1:19 BAKER AVE STE 302
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1385
Practice Address - Country:US
Practice Address - Phone:845-483-5951
Practice Address - Fax:845-483-5775
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014012829207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200013745Medicaid
MO1346532934Medicaid