Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OLASUMBO ELIZABETH FAGBENLE, MD
Active Sole ProprietorDR. OLASUMBO ELIZABETH FAGBENLE, MD is a Family Medicine healthcare provider located in SAINT LOUIS, Missouri. NPI 1275285124 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1275285124
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 21, 2022 (4.609104287252 yrs)
- Last Updated
- Jan 21, 2022
- Licenses
-
2021047578 (MO)2021047578 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3015 N BALLAS RDSAINT LOUIS, MO, 631312329Browse MO providers · Browse ZIP 63131
- Phone
- 9544770101
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| VANI PACHALLA | M.D. | 1063418382 |
| DR. THOMAS PATRICK KUCIEJCZYK-KERNAN | M.D. | 1669478970 |
| DR. ALEXANDER K MAMMEN | M.D. | 1609874734 |
| DR. MELISSA LOUISE HOLLIE | MD | 1275532178 |
| DR. DAMON R. BROYLES | M.D. | 1407856396 |
| DR. ANDREW MICAH GRABOWSKI | DO | 1093714917 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.