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BOLUTIFE FAWOLE MD
NPI 1841985728
Student in an Organized Health Care Education/Training Program in Elmhurst, NY

Active since April 07, 2023
7901 BROADWAY RM C10-12, ELMHURST, NY 11373(718) 334-3542(718) 334-3441 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bolutife Fawole Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLUTIFE FAWOLE MD (NPI 1841985728) is an individual student in an organized health care education/training program in Elmhurst, New York and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1841985728
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBOLUTIFE FAWOLECredential: MD
Location Address7901 BROADWAY RM C10-12Elmhurst, NY 11373-1329
Mailing Address7901 Broadway Rm C10-12Elmhurst, NY 11373-1329 · (718) 334-3542 · Fax (718) 334-3441
Phone(718) 334-3542
Fax(718) 334-3441
Sole ProprietorNo
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1841985728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7901 BROADWAY RM C10-12, Elmhurst, NY 11373
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EHINOR EDMOND ISIDAHOME MD
Psychiatry & Neurology (Psychiatry)
7901 BROADWAY RM C10-12
ELMHURST, NY 11373
Queens County (718) 334-3542
DR. SAIFELDIN HOSSAMELDIN MD
Student in an Organized Health Care Education/Training Program
7901 BROADWAY RM C10-12
ELMHURST, NY 11373
Queens County (718) 334-3542
LISA ALEJANDRA BUENO FERNANDEZ
Student in an Organized Health Care Education/Training Program
7901 BROADWAY RM C10-12
ELMHURST, NY 11373
Queens County (718) 334-3542
DR. CHEN-YU WEI MD
Student in an Organized Health Care Education/Training Program
7901 BROADWAY RM C10-12
ELMHURST, NY 11373
Queens County (718) 334-3542
NAVEENA THOTA MD
Student in an Organized Health Care Education/Training Program
7901 BROADWAY RM C10-12
ELMHURST, NY 11373
Queens County (718) 334-3542

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 Bolutife Fawole's NPI number?

The NPI number for Bolutife Fawole is 1841985728. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Bolutife Fawole located?

Bolutife Fawole practices at 7901 Broadway Rm C10-12, Elmhurst, NY 11373. The listed phone number is (718) 334-3542.

What is Bolutife Fawole'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 Bolutife Fawole was last updated on April 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.