IndividualActive
Olusegun Odukoya, M.D
NPI 1235387416 · Adult Medicine Physician · Willowick, OH
Provider details
- NPI number
- 1235387416
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 4301093350 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
33693 Vine St
Willowick, OH 44095-3455
Phone: (440) 768-2794
Fax: (888) 355-7033
Approximate (ZIP-level) locationGet directions
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Additional practice locations (2)
- 11100 Euclid AveCleveland, OH 44106-1716Phone: (216) 844-3944Fax: (216) 844-8974
- 3600 Kolbe Rd Ste 227Lorain, OH 44053-1601Phone: (440) 960-3304Fax: (440) 960-4733
Registry dates
- Enumerated
- 2008-08-30
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.