NPI

Boladale Adebimpe Adebogun

This page is a copy of the public NPPES file.

Facts

Status: Active
Type: Individual
Enumeration date: 2011-03-03
Last updated: 2011-03-03

Specialties

Licenses

License MD: 101104
License MD: 101104
License MD: 101104
License MD: 101104

Location

Practice location: 62 Ridgelawn Rd
City: Reisterstown MD
Postal code: 21136-3647
Phone: (443) 762-7949

Medicare

PECOS: No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Reisterstown, MD. 640 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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