Provider Demographics
NPI:1083700041
Name:AINA, OLUYEMI (MD)
Entity Type:Individual
Prefix:
First Name:OLUYEMI
Middle Name:
Last Name:AINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 912148
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-2148
Mailing Address - Country:US
Mailing Address - Phone:903-328-6556
Mailing Address - Fax:
Practice Address - Street 1:1601 N TRAVIS ST
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-3761
Practice Address - Country:US
Practice Address - Phone:903-328-6556
Practice Address - Fax:903-868-0282
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN48902084P0800X, 2084S0012X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2534421Medicaid
OHAI4214191Medicare PIN
OHF13206Medicare UPIN