Individual
OLANIYI OLADOTUN OSUNTOKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 10299, FORT WAYNE, IN 46851-0299
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01067588A
IN
2084N0400X
Neurology Physician
4301502715
MI
2084N0400X
Neurology Physician
55347
KY
2084P0800X
Psychiatry Physician
Primary
01067588A
IN
2084P0800X
Psychiatry Physician
04-51796
KS
2084P0800X
Psychiatry Physician
35.149699
OH
2084P0800X
Psychiatry Physician
55347
KY
2084P0800X
Psychiatry Physician
MD488387C
PA
2084P0800X
Psychiatry Physician
S9579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000704928
ANTHEM PIN - SERENITY MEDICAL ASSOCIATES
IN
01
—
000000704963
ANTHEM PIN - GALLAHUE MENTAL HEALTH SERVICES
IN
01
—
35.149699
STATE LICENSURE
OH
01
—
S9579
STATE LICENSURE
TX
Enumeration date
08/21/2006
Last updated
05/13/2026
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