Active NPIIndividual provider

Dr. Paul O Odusanya, MD

Internal Medicine in Kenosha, Wisconsin

NPI Number1720395411
Practice location
6308 8TH Ave, Hospitalist Management Group , United Hospitals, Kenosha, WI 53143-5031
Fax
—
Last updated
November 22, 2021

Paul Oluwatoyin Odusanya is an Internal Medicine based in Kenosha, WI. Paul Oluwatoyin Odusanya practices in Kenosha, WI and has the professional credentials of MD. The NPI Number for Paul Oluwatoyin Odusanya is 1720395411 and holds a License No. 54880-020 (WI). The current practice location address for Paul Oluwatoyin Odusanya is 6308 8TH Ave, Hospitalist Management Group , United Hospitals, Kenosha, WI 53143-5031 and can be reached out via phone at 201-238-5395.

Provider Profile Details

NPI Number
1720395411
Provider Name
Paul Oluwatoyin Odusanya
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6308 8TH Ave, Hospitalist Management Group , United Hospitals, Kenosha, WI 53143-5031
Phone Number
201-238-5395
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2010
Last Update Date
November 22, 2021
Certification Date
November 22, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
6308 8TH Ave
Hospitalist Management Group , United Hospitals
Kenosha, WI 53143-5031
Zip
53143-5031
Phone Number
201-238-5395
Kenosha, WI 53143Get directions →

Provider Business Mailing Address Details

Address
201 W 30TH St
Apartment 107
Bayonne, NJ 07002-1876
City
Bayonne
State
NJ
Zip
07002-1876
Phone Number
120-123-8539

License Information

License Number (1)
54880-020
License State (1)
WI
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
5488-20
License State (2)
WI
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Paul O Odusanya, MD?

The NPI number of Dr. Paul O Odusanya, MD is 1720395411. It was assigned on September 2, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Paul O Odusanya, MD?

Dr. Paul O Odusanya, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in WI under license number 54880-020.

Where does Dr. Paul O Odusanya, MD practice?

The practice location is 6308 8TH Ave, Hospitalist Management Group , United Hospitals, Kenosha, WI 53143-5031. The office can be reached at 201-238-5395 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720395411 directly on the NPPES registry website.

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