Provider Demographics
NPI:1174501233
Name:ODUNSI, ADEDAYO (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEDAYO
Middle Name:
Last Name:ODUNSI
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 1:455 TURNER ROAD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415
Mailing Address - Country:US
Mailing Address - Phone:937-496-5162
Mailing Address - Fax:937-522-0485
Practice Address - Street 1:455 TURNER ROAD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415
Practice Address - Country:US
Practice Address - Phone:937-496-5162
Practice Address - Fax:937-522-0485
Is Sole Proprietor?:No
Enumeration Date:2006-01-08
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.097187207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology