Dr. Modupe Adedamola Aderibigbe
Podiatrist Foot & Ankle Surgery Primary Podiatric Medicine
5471 Dr Martin Luther King Dr
Saint Louis
, Missouri 63112-4265
Dr. Modupe Adedamola Aderibigbe
Podiatrist Foot & Ankle Surgery Primary Podiatric Medicine
5471 Dr Martin Luther King Dr
Saint Louis
, Missouri 63112-4265
(314) 367-7010
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Modupe Adedamola Aderibigbe
- 5471 Dr Martin Luther King Dr
- Saint Louis, MO
- Zip : 63112-4265
- Fax : (314) 367-7010
- Phone : (314) 367-5820
Second Address
- Dr. Modupe Adedamola Aderibigbe
- 5471 Dr Martin Luther King Dr
- Saint Louis, MO
- Zip : 63112-4265
- Fax : (314) 367-7010
- Phone : (314) 367-5820
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Does Dr. Modupe Adedamola Aderibigbe offers telemedicine?
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Does Dr. Modupe Adedamola Aderibigbe have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016005470 | IL |
| Y | 222Z00000X | Podiatrist | 016005470 | IL |
| N | 213E00000X | Podiatrist | 2011018632 | MO |
| N | 222Z00000X | Podiatrist | 2011018632 | MO |
| N | 213EP1101X | Primary Podiatric Medicine | 5901002232 | MI |
| N | 213ES0103X | Foot & Ankle Surgery | 5901002232 | MI |
National Provider Identifier
| NPI | 1407092927 |
|---|---|
| Provider Name | Dr. Modupe Adedamola Aderibigbe |
| First Address | Saint Louis, MO 63112-4265 |
| Second Address | Saint Louis, MO 63112-4265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2009 |
| Last Update Date | 01/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.