Oguntoye, Olatubosun Olasupo

Oguntoye, Olatubosun Olasupo is an individual health care provider with primary practice located at 1907 W Sycamore St , Kokomo IN 46901-5148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Oguntoye, Olatubosun Olasupo can be contacted via phone (765) 236-8363.

Contact Information

Primary practice address
1907 W Sycamore St Kokomo IN 46901-5148
Phone: (765) 236-8363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19931 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01062399A Indiana

Profile Details

NPI number 1891983243
LBN Legal business name Oguntoye, Olatubosun Olasupo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Jun 12th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891983243 NPPES
Indiana MEDICAID 20091550
Indiana Other 01062399A

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