Provider Demographics
NPI:1285063149
Name:SHITTA-BEY, OLUWATOYOSI (AA)
Entity type:Individual
Prefix:
First Name:OLUWATOYOSI
Middle Name:
Last Name:SHITTA-BEY
Suffix:
Gender:M
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 ALPEN GREEN WAY
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-1903
Mailing Address - Country:US
Mailing Address - Phone:240-498-9270
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE - ANESTHESIOLOGY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-778-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant