# DR. OLUFISAYO TAYO OTUSANYA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336552785
- **Gender:** Man
- **Credential:** M.B.CH.B

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 305582 | LA | — |
| 207RP1001X | Pulmonary Disease Physician | 84957 | GA | Yes |

## Other

- **Enumeration date:** 06/03/2014
- **Last updated:** 07/22/2020