Provider Demographics
NPI:1881223501
Name:ODUKOYA, TOLUWALOPE ITUNUOLUWA (MD)
Entity Type:Individual
Prefix:
First Name:TOLUWALOPE
Middle Name:ITUNUOLUWA
Last Name:ODUKOYA
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 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:363-716-2694
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST RM MN-118
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-5157
Practice Address - Fax:859-323-1315
Is Sole Proprietor?:No
Enumeration Date:2020-04-04
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program