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DR. OLUFISAYO TAYO OTUSANYA M.B.CH.B NPI 1336552785


NPI Information

NPI: 1336552785
Provider Name: DR. OLUFISAYO TAYO OTUSANYA, M.B.CH.B
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
135 N PARK PL STE 200
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 289-7960
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DR. Olufisayo Tayo Otusanya, M.B.CH.B is a pulmonary disease internal medicine in Stockbridge, GA with 14 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Olufisayo Tayo Otusanya, M.B.CH.B NPI is 1336552785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

135 N PARK PL STE 200
STOCKBRIDGE, GA
ZIP 30281-209
Phone: (678) 289-7960

The NPI 1336552785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 7/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine305582LOUISIANANo
2207RP1001XInternal MedicinePulmonary Disease84957GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.