Provider Demographics
NPI:1386496040
Name:OLONIYO, TOPE (MD)
Entity type:Individual
Prefix:DR
First Name:TOPE
Middle Name:
Last Name:OLONIYO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OLUBUKOLA
Other - Middle Name:OPE
Other - Last Name:OLONIYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6807 VISTA LEDGE DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2995
Mailing Address - Country:US
Mailing Address - Phone:972-997-1783
Mailing Address - Fax:
Practice Address - Street 1:1901 N DUPONT HWY
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1100
Practice Address - Country:US
Practice Address - Phone:972-997-1783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-00185092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry