Provider Demographics
NPI:1639432107
Name:OYEDIRAN, BABATUNDE O (MD, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BABATUNDE
Middle Name:O
Last Name:OYEDIRAN
Suffix:
Gender:M
Credentials:MD, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7017 N 10TH ST STE N2130
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3287
Mailing Address - Country:US
Mailing Address - Phone:281-948-5120
Mailing Address - Fax:877-242-8492
Practice Address - Street 1:7017 N 10TH ST STE N2130
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3287
Practice Address - Country:US
Practice Address - Phone:281-948-5120
Practice Address - Fax:877-773-9276
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012018813207L00000X
NH19742207L00000X
TXQ7443207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology