Provider Demographics
NPI:1639283377
Name:OYEKANMI, OYEKUNLE A (MD)
Entity Type:Individual
Prefix:DR
First Name:OYEKUNLE
Middle Name:A
Last Name:OYEKANMI
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 1:9216 GREAT LAKES CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-3678
Mailing Address - Country:US
Mailing Address - Phone:937-684-4234
Mailing Address - Fax:937-435-1908
Practice Address - Street 1:915 W. MICHIGAN STREET
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-2491
Practice Address - Country:US
Practice Address - Phone:937-492-7296
Practice Address - Fax:937-498-5544
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-083300-O207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine