Provider Demographics
NPI:1194510479
Name:DADA, INIOLUWA TIMOTHY (MD)
Entity type:Individual
Prefix:MR
First Name:INIOLUWA
Middle Name:TIMOTHY
Last Name:DADA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 BOOK RD W
Mailing Address - Street 2:
Mailing Address - City:ANCASTER
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L9G3L1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:462 GRIDER STREET DK MILLER BUILDING C-215
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215
Practice Address - Country:US
Practice Address - Phone:716-898-3941
Practice Address - Fax:716-898-3279
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program