Provider Demographics
NPI:1699917930
Name:ONASANYA, NATOSHA SMITH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NATOSHA
Middle Name:SMITH
Last Name:ONASANYA
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:NATOSHA
Other - Middle Name:DONYELLE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:1221 TROTTERS RUN CT
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-7512
Mailing Address - Country:US
Mailing Address - Phone:240-429-0551
Mailing Address - Fax:
Practice Address - Street 1:70 BIRCH ALY STE 240
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45440-1477
Practice Address - Country:US
Practice Address - Phone:937-619-9646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012511892084P0804X
OH35.1375832084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0384835Medicaid