DR. ENIOLA OLADOSU FAGBONGBE


Address: 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104
Phone: 9015168675

DR. ENIOLA OLADOSU FAGBONGBE (NPI# 1912394495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912394495
Entity Type Individual
Full Name DR. ENIOLA OLADOSU FAGBONGBE
Credential M.D.
Practice Address 1265 Union Ave, 7 Thomas Wing, Room 707
Memphis
TN 38104
Practice Telephone 9015168675
Mailing Telephone 9015168675
Enumeration Date 2015-04-22
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
57.028708 OH Allopathic & Osteopathic Physicians
N 208600000X Surgery BP10052972 TX Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Baylor Plz Ste 404d, Houston, TX 770303411 7137988629

Other Providers ENIOLA FAGBONGBE

NPI Name Taxonomy Address Enumeration
1790737807 Eniola O Fagbongbe Obstetrics & Gynecology 200 1st St Sw, Rochester, MN 55905-0001 2006-05-17

Office Location

Street Address 1265 UNION AVE, 7 THOMAS WING, ROOM 707
City MEMPHIS
State TN
Zip Code 38104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
Find all providers in zip 38104

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003417197 West Clinic, P. C. Radiology 5999 Manor Cv, Memphis, TN 38120-3105 2020-11-04
1114528205 West Clinic, P. C. Radiology 708 W Suggs Dr, Memphis, TN 38120-2741 2020-11-04
1447851530 West Clinic, P. C. Radiology 5740 The Forest Gate Rd, Memphis, TN 38120-2540 2020-11-04
1720689169 West Clinic, P. C. Radiology 5396 Gwynne Rd, Memphis, TN 38120-1908 2020-11-03
1558990788 Sanitas Medical Center of Tennessee PC Radiology 438 N Cleveland St, Memphis, TN 38104-7014 2020-04-08
1033554589 Phillip Osborn Flinn Radiology 1325 Eastmoreland Ave Ste 545, Memphis, TN 38104-7510 2013-05-09
1952656316 William Eugene Long Radiology 155 Trezevant View Pl, Memphis, TN 38111-4759 2012-07-20
1720377583 Adeel Siddiqui Radiology 848 Adams Ave Ground Fl, Memphis, TN 38103 2011-04-01
1497055081 Stephen Lane Gammill Sr. Radiology 2935 Iroquois Rd, Memphis, TN 38111-2615 2010-10-28
1659698942 Scott Neill Osborne Radiology 7695 Poplar Pike Ste 101, Memphis, TN 38138-5947 2010-04-26
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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