MEDICARE: MRS. TINUOLA K BABARINDE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	29580	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29580	OTHER	AZ	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265594519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TINUOLA K BABARINDE MD

Provider Business Mailing Address
First Line	:	14741 W MOUNTAIN VIEW BLVD STE 149
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-2704
Country	:	US
Telephone Number	:	623-975-5400
Fax Number	:	623-975-6004

Provider Business Practice Location Address
First Line	:	14741 W MOUNTAIN VIEW BLVD STE 149
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-2704
Country	:	US
Telephone Number	:	623-975-5400
Fax Number	:	623-975-6004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	11/23/2022

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