DR. OMOLABAKE GRACE FAGBENRO MD
NPI 1740111509
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Dr. Omolabake Grace Fagbenro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OMOLABAKE GRACE FAGBENRO MD (NPI 1740111509) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Omolabake Grace Fagbenro's NPI number?
The NPI number for Omolabake Grace Fagbenro is 1740111509. It was assigned to this individual provider in the NPPES registry on May 28, 2026.
Where is Omolabake Grace Fagbenro located?
Omolabake Grace Fagbenro practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 394-4195.
What is Omolabake Grace Fagbenro's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Omolabake Grace Fagbenro was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Omolabake Grace Fagbenro, MD · NPI 1740111509
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 28, 2026.
## Identity
- **NPI:** 1740111509 (Entity type: Individual)
- **Enumerated:** May 28, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 OLD YORK RD STE 1, Philadelphia, PA 19141-3098
- **Phone:** (215) 394-4195
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740111509) · Data from the CMS NPPES public registry.