Provider Demographics
NPI:1871760652
Name:OSUNBUNMI, OLUTOYE OLUNUGA (MD)
Entity type:Individual
Prefix:DR
First Name:OLUTOYE
Middle Name:OLUNUGA
Last Name:OSUNBUNMI
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 CHILDREN'S PLAZA
Mailing Address - Street 2:NEWBORN MEDICINE
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1815
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDREN'S PLAZA
Practice Address - Street 2:NEWBORN MEDICINE
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-1815
Practice Address - Country:US
Practice Address - Phone:937-641-3414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1215442080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine