Provider Demographics
NPI:1073539953
Name:AWOSIKA, OLUKAYODE O (MD)
Entity Type:Individual
Prefix:DR
First Name:OLUKAYODE
Middle Name:O
Last Name:AWOSIKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6600 FRANCE AVE S STE 415
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-1804
Mailing Address - Country:US
Mailing Address - Phone:952-303-6832
Mailing Address - Fax:952-303-3434
Practice Address - Street 1:6600 FRANCE AVE S STE 415
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1804
Practice Address - Country:US
Practice Address - Phone:952-303-6832
Practice Address - Fax:952-303-3434
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN469302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN814640300Medicaid
MN814640300Medicaid
MN260002391Medicare Oscar/Certification