Provider Demographics
NPI:1336376623
Name:BADA, OLUWAFUNMILOLA TEMITOPE (MD)
Entity type:Individual
Prefix:DR
First Name:OLUWAFUNMILOLA
Middle Name:TEMITOPE
Last Name:BADA
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:TEMITOPE
Other - Middle Name:
Other - Last Name:BADA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1225 4TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3431
Mailing Address - Country:US
Mailing Address - Phone:026-034-7942
Mailing Address - Fax:202-290-2744
Practice Address - Street 1:1225 4TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3431
Practice Address - Country:US
Practice Address - Phone:202-603-4794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0069373207V00000X
DCMD040978207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD965073-01OtherCAREFIRST BCBS MARYLAND
G400-0006OtherCAREFIRST BCBS FEDERAL
MD022887700Medicaid