National Provider Identifier Database

MODUPE A ADERIBIGBE, DPM – NPI #1407092927
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

MODUPE A ADERIBIGBE, DPM
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO63112-4265
Phone: 314-367-5820
Fax: 314-367-7010
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X
Primary Podiatric Medicine 213EP1101X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for MODUPE A ADERIBIGBE

NPI Number 1407092927
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/06/2009
Last updated 04/01/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 016005470
  • MI License #: 5901002232
  • MO License #: 2011018632
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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