Tola B Fashokun
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
2411 W Belvedere Ave
Baltimore
, Maryland 21215-5228
Tola B Fashokun
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
2411 W Belvedere Ave
Baltimore
, Maryland 21215-5228
(410) 550-7802
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Tola B Fashokun
- Po Box 64313
- Baltimore, MD
- Zip : 21264-4313
- Phone : (410) 550-7802
Second Address
- Tola B Fashokun
- 2411 W Belvedere Ave
- Baltimore, MD
- Zip : 21215-5228
- Fax : (410) 601-2524
- Phone : (410) 601-2523
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | D60686 | MD |
| N | 207V00000X | Obstetrician & Gynecologist | MD2006-0148 | NM |
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | D60686 | MD |
National Provider Identifier
| NPI | 1568555258 |
|---|---|
| Provider Name | Tola B Fashokun |
| First Address | Baltimore, MD 21264-4313 |
| Second Address | Baltimore, MD 21215-5228 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 14/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 402776100 | (05) | MD |
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.