National Provider Identifier

Fatai Adesina Gbadamosi, MD

Fatai Adesina Gbadamosi, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 847-0328.

NPI 1386693190Buffalo, NYInternal Medicine Physician

Profile Overview

NPI
1386693190
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
May 09, 2006
Last Updated
December 09, 2011

Practice Location

  • 206 S Elmwood Ave
  • Buffalo, NY 14201-2398

Phone: (716) 847-0328

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1386693190
Entity Type
Individual
Last Name
Gbadamosi
First Name
Fatai
Middle Name
Adesina
Credential
MD
Mailing Street Address
206 S Elmwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14201-2398
Mailing Country
US
Mailing Phone
(716) 847-0328
Mailing Fax
(716) 847-2715
Practice Street Address
206 S Elmwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-2398
Practice Country
US
Practice Phone
(716) 847-0328
Practice Fax
(716) 847-2715
Enumeration Date
May 09, 2006
Last Updated
December 09, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
02050035 (NY), 0410964 (NY, Independent Health), 00025064402 (NY, Univera), 000525978004 (NY, Blue Cross & Blue Shield)