Olatubosun Odusi
MD | Pediatrics | Male
Olatubosun Odusi, MD is a Brooklyn, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Olatubosun Odusi is
4802 10th Ave, Brooklyn, New York - 11219-2844. He can be contacted on phone at
718-283-7500 and fax number 718-635-7235.
Olatubosun Odusi is a sole proprietor of his business.
NPI number (Unique professional ID) for Olatubosun Odusi is
1972598084 which was assigned by NPPES on 14 Sep, 2005 and it was last updated on 04 Feb, 2013.
Olatubosun Odusi license number is
216736 for Pediatrics (208000000X) in New York.
Olatubosun Odusi is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Olatubosun Odusi basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Olatubosun Odusi |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Olatubosun Odusi address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4802 10th Ave
Brooklyn, NY, 11219-2844
United States |
|---|
| Phone Number : | 718-283-7500 |
|---|
| Fax Number : | 718-635-7235 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972598084 |
|---|
| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Sep, 2005 |
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| Last Updated On : | 04 Feb, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Olatubosun Odusi are as mentioned. Primary taxonomy code for Olatubosun Odusi, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 216736 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Olatubosun Odusi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 216736-A15 | Other | NY | HEALTH FIRST |
| 112940201 | Other | NY | HEALTH PLUS |
| 2697890 | Other | NY | GHI |
| 0100713-02 | Other | NY | AMERICHOICE |
| 1000006625 | Other | NY | AFFINITY HEALTH |
| 2031247 | Other | NY | UNITED HEALTH CARE |
| 2592835 | Other | NY | AETNA USHC PPO |
| 2C9466 | Other | NY | HEALTH NET |
| 7440270 | Other | NY | AETNA PPO |
| 216736 | Other | NY | HIP |
| P2164401 | Other | NY | OXFORD HEALTH PLAN |
| 02112912 | MEDICAID | NY | |
| 1R0921 | Other | NY | EMPIRE BCBS |
| OO6736 | Other | NY | ATLANTIS HEALTH PLAN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 977 48th St
Brooklyn, NY, 11219-2919
United States |
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| Phone Number : | 718-283-8015 |
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| Fax Number : | 718-635-7235 |
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Business Location:
Patients can refer following map for directions to
Olatubosun Odusi practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.