Provider Demographics
NPI:1447245097
Name:BABAGBEMI, T. KEMI (MD)
Entity Type:Individual
Prefix:
First Name:T.
Middle Name:KEMI
Last Name:BABAGBEMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TOKUNBO
Other - Middle Name:OLUKEMI
Other - Last Name:BABAGBEMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:425 E 61ST ST FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-8790
Mailing Address - Country:US
Mailing Address - Phone:212-821-0680
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:RADIOLOGY,CORNELL/NEW YORK PRESBYTERIAN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4870
Practice Address - Country:US
Practice Address - Phone:212-746-2520
Practice Address - Fax:212-746-8596
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2138482085R0202X, 2085U0001X
NY2415932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ26037OtherBLUE CROSS/BLUE SHIELD
MA2010097Medicaid
MA245371OtherHARVARD PILGRIM HEALTH CA
MA213848OtherTUFT HEALTH CARE
MA213848OtherTUFT HEALTH CARE
MA2010097Medicaid