Provider Demographics
NPI:1215910054
Name:OBADINA, BABAJIDE AYODEJI (MD)
Entity type:Individual
Prefix:
First Name:BABAJIDE
Middle Name:AYODEJI
Last Name:OBADINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7325 HANOVER PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3618
Mailing Address - Country:US
Mailing Address - Phone:301-345-3966
Mailing Address - Fax:301-982-2937
Practice Address - Street 1:7325 HANOVER PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3618
Practice Address - Country:US
Practice Address - Phone:301-345-3966
Practice Address - Fax:301-982-2937
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0041039207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52938102OtherCAREFIRST OF MD
MD821401OtherOPTIMUM CHOICE
MD821401OtherMDIPA
MD821401OtherONENET PPO
MH12962OtherPRIORITY PARTNERS
DCC500-0001OtherCAREFIRST OF DC
MD016608OtherANTHEM BLUE CROSS
MD4534825OtherAETNA
MD497105OtherNCPPO
MD821401OtherMAMSI LIFE AND HEALTH
MD03062OtherAMERIGROUP
MD0401304OtherUNITED HEALTHCARE
MDF01742Medicare UPIN
MD016608OtherANTHEM BLUE CROSS