Provider Demographics
NPI:1548905169
Name:TUNDE-BYASS, OYINDAMOLA AJOKE (MD)
Entity type:Individual
Prefix:
First Name:OYINDAMOLA
Middle Name:AJOKE
Last Name:TUNDE-BYASS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 DAVOL SQ STE 300
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4754
Mailing Address - Country:US
Mailing Address - Phone:401-444-6779
Mailing Address - Fax:401-444-6912
Practice Address - Street 1:1500 PONTIAC AVE STE 101
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-4486
Practice Address - Country:US
Practice Address - Phone:401-944-4300
Practice Address - Fax:401-464-4071
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMD20736207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine