Fashokun, Tola B
Fashokun, Tola B is an individual health care provider with primary practice located at 2411 W Belvedere Ave , Baltimore MD 21215-5228. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Fashokun, Tola B can be contacted via phone (410) 601-2523.Contact Information
Primary practice address
2411 W Belvedere Ave
Baltimore MD 21215-5228
Phone: (410) 601-2523
Fax: (410) 601-2524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | D60686 | Maryland |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD2006-0148 | New Mexico |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | D60686 | Maryland |
Profile Details
| NPI number | 1568555258 |
|---|---|
| LBN Legal business name | Fashokun, Tola B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Mar 14th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568555258 | NPPES |
| Maryland | MEDICAID | 402776100 |
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