| Dr Tajudeen Oladapo Fawole, M D | |
|
4808 85th Ave N, Brooklyn Park, MN 55443-1816 | |
| (763) 496-1562 | |
| (763) 657-0581 |
| Full Name | Dr Tajudeen Oladapo Fawole |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 4808 85th Ave N, Brooklyn Park, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801991005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46351 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regency Hospital Of Minneapolis, Llc | 0345203840 | 21 |
| Entity Name | Regency Hospital Of Minneapolis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770585382 PECOS PAC ID: 0345203840 Enrollment ID: O20050328000075 |
| Entity Name | Noble Parkway Medical Clinic Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043556517 PECOS PAC ID: 8921245689 Enrollment ID: O20130516000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tajudeen Oladapo Fawole, M D 4808 85th Ave N, Brooklyn Park, MN 55443-1816 Ph: (763) 496-1562 | Dr Tajudeen Oladapo Fawole, M D 4808 85th Ave N, Brooklyn Park, MN 55443-1816 Ph: (763) 496-1562 |
Kerry M Sheets, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443 Phone: 612-873-6963 | |
Dr. Fouad George Azzam, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7101 Northland Cir N, Suite 209, Brooklyn Park, MN 55428 Phone: 763-531-2030 Fax: 763-531-2099 | |
Dr. Arvin Mangasi Vocal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-528-6999 Fax: 763-569-6208 | |
Dr. Melody Mendiola, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9300 Noble Pkwy N, Brooklyn Park, MN 55443 Phone: 763-236-5300 Fax: 763-236-5250 | |
Dr. Mariam Anwar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443 Phone: 612-873-6963 | |
Peter A Schlesinger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7650 Zane Ave N, Brooklyn Park, MN 55443 Phone: 612-873-6963 | |
Dr. Amy M. Putnam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10000 Zane Ave N, Brooklyn Park, MN 55443 Phone: 763-572-5710 Fax: 763-569-6200 |