Provider Demographics
NPI:1669556148
Name:AINA-BABALOLA, ADEJOKE FOLUKE (MD)
Entity type:Individual
Prefix:
First Name:ADEJOKE
Middle Name:FOLUKE
Last Name:AINA-BABALOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADEJOKE
Other - Middle Name:FOLUKE
Other - Last Name:BABALOLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6716 NOLENSVILLE PIKE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8805
Mailing Address - Country:US
Mailing Address - Phone:615-283-3524
Mailing Address - Fax:615-283-3950
Practice Address - Street 1:6716 NOLENSVILLE PIKE
Practice Address - Street 2:SUITE 240
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8805
Practice Address - Country:US
Practice Address - Phone:615-283-3524
Practice Address - Fax:615-283-3950
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34521207R00000X, 207PE0004X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3897942Medicaid
TN3897942Medicaid
TN3897942Medicare PIN