Esan, Olubunmi Olatayo
Esan, Olubunmi Olatayo is an individual health care provider with primary practice located at 2350 Miami Valley Dr Ste 300 , Centerville OH 45459-4778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Esan, Olubunmi Olatayo can be contacted via phone (937) 438-8640.Contact Information
Primary practice address
2350 Miami Valley Dr Ste 300
Centerville OH 45459-4778
Phone: (937) 438-8640
Fax: (937) 438-8615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD470322 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 47747 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.141595 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 47747 | Kentucky |
Profile Details
| NPI number | 1558795377 |
|---|---|
| LBN Legal business name | Esan, Olubunmi Olatayo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2013 |
| Last updated | Dec 12th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558795377 | NPPES |
| Ohio | MEDICAID | 0454885 |
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