Abayomi Fakunle

Primary specialty

SpecialistTaxonomy code 174400000X

License

D25326 Issued in MD

Practice address

1808 Woodlawn Dr
Suite M
Baltimore, MD 21207-4023

Phone

(410) 298-3482

Fax

(410) 298-0314

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Abayomi Fakunle Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235349341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13318 ROYDEN CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 WOODLAWN DR",
            "address_2": "SUITE M",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074023",
            "telephone_number": "410-298-3482",
            "fax_number": "410-298-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKUNLE",
        "first_name": "ABAYOMI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D25326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABAYOMI",
            "last_name": "FAKUNLE",
            "prefix": "DR.",
            "credential": "M.D.,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Naji Fakhouri, M.D.
• Amena Fakhri
• Carole Fakhry, MD
• Rosematu Alima-Lucia Fakondo
• Mary Olubunmi Fakorede, MD
• Oluwaseun Omotomilola Falade, M.D
• Cheyenne Falat
• Nicole Falatko, MD
• Nikki Falay
• Alison J Falck, MD

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.