Osinowo, Osiyemi O

Osinowo, Osiyemi O is an individual health care provider with primary practice located at 1133 Medical Dr , Tyler TX 75701-2130. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Osinowo, Osiyemi O can be contacted via phone (903) 595-5486.

Contact Information

Primary practice address
1133 Medical Dr Tyler TX 75701-2130
Phone: (903) 595-5486
Fax: (903) 595-5128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48247 Kentucky
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48247 Kentucky
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R7840 Texas

Profile Details

NPI number 1962765024
LBN Legal business name Osinowo, Osiyemi O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2012
Last updated Jan 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962765024 NPPES
Texas MEDICAID 387463801

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