Individual
FADAR OLIVER OTITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, SCM
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
W5487
TX
2084A2900X
Neurocritical Care Physician
298744
NY
2084A2900X
Neurocritical Care Physician
W5487
TX
2084N0400X
Neurology Physician
298744
NY
2084N0400X
Neurology Physician
W5487
TX
2084V0102X
Vascular Neurology Physician
W5487
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2013
Last updated
06/11/2026
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