Provider Demographics
NPI:1356640395
Name:DA ROCHA AFODU, DAVID BABAJIDE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BABAJIDE
Last Name:DA ROCHA AFODU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2702 NAVARRE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3223
Mailing Address - Country:US
Mailing Address - Phone:419-698-8560
Mailing Address - Fax:419-698-8570
Practice Address - Street 1:2702 NAVARRE
Practice Address - Street 2:SUITE 201
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3223
Practice Address - Country:US
Practice Address - Phone:419-698-8560
Practice Address - Fax:419-698-8570
Is Sole Proprietor?:No
Enumeration Date:2011-03-16
Last Update Date:2024-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH097553207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH012210Medicare PIN