Provider Demographics
NPI:1700021193
Name:ADIO, TITILOLA ROSEMARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:TITILOLA
Middle Name:ROSEMARIE
Last Name:ADIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TITILOLA
Other - Middle Name:ROSEMARIE
Other - Last Name:ADIO-ODUOLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6620 MAIN STREET
Mailing Address - Street 2:11TH FLOOR 11B.17.5
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2514
Mailing Address - Country:US
Mailing Address - Phone:713-798-8180
Mailing Address - Fax:713-798-0111
Practice Address - Street 1:6720 BERTNER AVENUE
Practice Address - Street 2:CHI BAYLOR ST LUKE HOSPITAL
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:832-355-1000
Practice Address - Fax:713-798-0111
Is Sole Proprietor?:No
Enumeration Date:2008-12-13
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10031203207R00000X
TXN4883207R00000X, 208M00000X
NMMD2023-0161207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist