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

Dr. Oladepo Collins Fasoranti, MBBS

Individual provider Family Medicine Physician · NPI 1003939968

Dr. Oladepo Collins Fasoranti, MBBS is a Family Practice in Coon Rapids, Minnesota. Qualified in 1991, 35 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
35
Licensed in
GA
In the registry since
2007
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

11475 Robinson Drive NW - Mailstop 32600A Healthpartners Coon Rapids Clinic
Coon Rapids, MN 55433-3746
Phone: (763) 587-9000
Fax: (763) 587-9130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 001220 (GA)

Record details

NPI number1003939968
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedApril 7, 2007
Last updated in NPPESDecember 5, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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