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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558036103

Oluwanifemi Tolulase Balogun, MD is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
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

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone: (484) 724-3964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558036103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2021
Last updated in NPPESAugust 14, 2021
Certification dateAugust 12, 2021

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