IndividualActive
Olatunji Oluwatade, MD
NPI 1477677458 · Infectious Disease Physician · Vicksburg, MS
Provider details
- NPI number
- 1477677458
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301089363 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2080 S, Frontage Rd.
Suite100
Vicksburg, MS 39180-5883
Phone: (601) 262-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2080 S Frontage Rd
Vicksburg, MS 39180-5328
Additional practice locations (1)
- 971 Lakeland Dr Ste 954Jackson, MS 39216-4609Phone: (601) 200-4714
Registry dates
- Enumerated
- 2007-03-16
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.