Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.136931 | OH |
N | 208600000X | Surgeon | 35.136931 | OH |
Y | 2086S0120X | Pediatric Surgery | 35.136931 | OH |
NPI | 1376623785 |
---|---|
Provider Name | Oluyinka O. Olutoye |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 28/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0355347 | (05) | OH |
H39733 | (02) | |
H623660 | CGS-MEDICARE (01) | OH |