Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | FA5309504 | MD |
N | 207RC0000X | Internist - Cardiovascular Disease | FA5309504 | MD |
NPI | 1003115387 |
---|---|
Provider Name | Dr. Tolulope Adesiyun Agunbiade |
First Address | Baltimore, MD 21218-6520 |
Second Address | Baltimore, MD 21218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2011 |
Last Update Date | 31/12/2019 |