Tajudeen O Fawole (NPI# 1801991005, PAC ID# 8729017082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1801991005 |
| PAC ID by PECOS | 8729017082 |
| Professional Enrollment ID | I20061023000043 |
| Full Name | Tajudeen O Fawole |
| Address |
4808 85th Ave N Suite 300 Brooklyn Park MN 55443-1816 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4808 85th Ave N, Suite 300, Brooklyn Park, MN 55443-1816 | ||
| 1300 Hidden Lakes Pkwy, Golden Valley, MN 55422-4286 | 7635882750 | REGENCY HOSPITAL OF MINNEAPOLIS, LLC |
| Street Address |
4808 85TH AVE N SUITE 300 |
| City | BROOKLYN PARK |
| State | MN |
| Zip | 55443-1816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Kent W Svee | Internal Medicine | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Brianna M. Koopman | Nurse Practitioner | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Pamela S Kolacz | Family Medicine | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Rebecca Rathjen | Clinical Social Worker | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Arvin M Vocal | Internal Medicine | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Melissa A Gulden | Nurse Practitioner | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Holly M Bieda | Optometry | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Amanda J Dubuque | Nurse Practitioner | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Mousumi Kundu | Family Medicine | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Find all physicians in zip 55443 | |||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BROOKLYN PARK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tajudeen O Fawole.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.