Provider Demographics
NPI:1598283756
Name:ABIOYE, DAVID OLADIPO
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:OLADIPO
Last Name:ABIOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 S UTICA AVENUE
Mailing Address - Street 2:SUITE 613
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136
Mailing Address - Country:US
Mailing Address - Phone:918-805-2305
Mailing Address - Fax:918-340-5516
Practice Address - Street 1:7110 S UTICA AVENUE
Practice Address - Street 2:SUITE 613
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-805-2305
Practice Address - Fax:918-340-5516
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner