Dr Eniola Oladosu Fagbongbe, MD | |
725 Welch Rd Rm 1890, Palo Alto, CA 94304-1601 | |
(510) 896-5507 | |
Not Available |
Full Name | Dr Eniola Oladosu Fagbongbe |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 725 Welch Rd Rm 1890, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912394495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | BP10052972 (Texas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 57.028708 (Ohio) | Primary |
Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Mailing Address | Practice Location Address |
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Dr Eniola Oladosu Fagbongbe, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (510) 896-5507 | Dr Eniola Oladosu Fagbongbe, MD 725 Welch Rd Rm 1890, Palo Alto, CA 94304-1601 Ph: (510) 896-5507 |
Praveen Jayapal, MD Radiology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Dr. Matilde Nino-murcia, M. D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Kristen Woojeong Yeom, MD Radiology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Dr. Gregory Brandt Louie, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr # H1307, Dept Of Radiology, Palo Alto, CA 94305 Phone: 650-723-6661 | |
Thomas Floyd Osborne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Dr. Neil Hemant Thakur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Department Of Radiology, Palo Alto, CA 94305 Phone: 913-940-5344 | |
Mahesh Gautam Atluri, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 |