Provider Demographics
NPI:1043003197
Name:ASAOLU, OLUTOYIN IRETIOLA
Entity type:Individual
Prefix:
First Name:OLUTOYIN
Middle Name:IRETIOLA
Last Name:ASAOLU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OLUTOYIN
Other - Middle Name:IRETIOLA
Other - Last Name:ADEDEJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:DIVISION OF INFECTIOUS DISEASE STONYBROOK HOSPITAL
Mailing Address - Street 2:HSC 16-060
Mailing Address - City:STONYBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8153
Mailing Address - Country:US
Mailing Address - Phone:613-444-3669
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF INFECTIOUS DISEASE STONYBROOK HOSPITAL
Practice Address - Street 2:HSC 16-060
Practice Address - City:STONYBROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8153
Practice Address - Country:US
Practice Address - Phone:613-444-3669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program