Individual
DR. DOROTHY TATA-OYEKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12903 SHELBYVILLE RD, LOUISVILLE, KY 40243-1538
(502) 245-4301
(502) 244-5829
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29385
OK
207Q00000X
Family Medicine Physician
Primary
46953
KY
207Q00000X
Family Medicine Physician
ME110928
FL
Other
Enumeration date
08/08/2012
Last updated
01/19/2017
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