Provider Demographics
NPI:1831302603
Name:KEHINDE, FOLASADE IBIRONKE (MD)
Entity Type:Individual
Prefix:
First Name:FOLASADE
Middle Name:IBIRONKE
Last Name:KEHINDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FOLASADE
Other - Middle Name:IBIRONKE
Other - Last Name:SANGOSANYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2014 STONY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6095
Mailing Address - Country:US
Mailing Address - Phone:676-138-4182
Mailing Address - Fax:267-613-8418
Practice Address - Street 1:160 E ERIE AVE DEPT OF
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1011
Practice Address - Country:US
Practice Address - Phone:215-427-5202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4315452080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine