Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD426280 | PA |
Y | 2080P0204X | Pediatric Emergency Doctor | MD426280 | PA |
NPI | 1255549820 |
---|---|
Provider Name | Oluwakemi Badaki |
First Address | Baltimore, MD 21297-7215 |
Second Address | Washington, DC 20010-2978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 30/04/2008 |