Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Khadijat Omolola Balogun, MD

Individual provider Gastroenterology Physician · NPI 1124310743

Dr. Khadijat Omolola Balogun, MD is a Gastroenterology in Manchester, Connecticut. Qualified in 2014, 12 years ago. Practices with Gastrointestinal Associates of Maryland PA, a 7-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

353 Main St
Manchester, CT 06040-4145
Phone: (860) 649-3477
Fax: (860) 649-0011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 56518 (CT)

Record details

NPI number1124310743
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2011
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Gastrointestinal Associates Of Maryland Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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