Provider Demographics
NPI:1407017759
Name:OLATUNBOSUN, SADIAT KRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:SADIAT
Middle Name:KRISTINA
Last Name:OLATUNBOSUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SADAT
Other - Middle Name:KRISTINA
Other - Last Name:OLATUNBOSUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1502 TAUB LOOP
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1608
Mailing Address - Country:US
Mailing Address - Phone:713-873-4901
Mailing Address - Fax:
Practice Address - Street 1:1502 TAUB LOOP
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-4901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100320782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry