Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C038721 | CA |
Y | 208000000X | Pediatrician | F0226 | TX |
N | 2080A0000X | Adolescent Medicine | C038721 | CA |
N | 208D00000X | General Practice Physician | C038721 | CA |
NPI | 1194854836 |
---|---|
Provider Name | Dr. Babatunde Adegbite Jinadu |
First Address | Odessa, TX 79763-4206 |
Second Address | Odessa, TX 79763-4602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 27/11/2018 |