Provider Demographics
NPI:1467878314
Name:NETTEY, OLUWAROTIMI SEWEDO (MD, MHS)
Entity Type:Individual
Prefix:DR
First Name:OLUWAROTIMI
Middle Name:SEWEDO
Last Name:NETTEY
Suffix:
Gender:F
Credentials:MD, MHS
Other - Prefix:
Other - First Name:OLUWAROTIMI
Other - Middle Name:SEWEDO
Other - Last Name:OKUNADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1504 TAUB LOOP UNIT 403
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1608
Mailing Address - Country:US
Mailing Address - Phone:832-826-1385
Mailing Address - Fax:
Practice Address - Street 1:1504 TAUB LOOP UNIT 403
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:832-826-1385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125065408208800000X
TXT7313208800000X
IL036143705208800000X
TXT3132088F0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088F0040XAllopathic & Osteopathic PhysiciansUrologyFemale Pelvic Medicine and Reconstructive Surgery
No208800000XAllopathic & Osteopathic PhysiciansUrology