MEDICARE: DR. OLUWATOBI OHIOLE OZOYA MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZH0000X	Hematology (Pathology) Physician	346135	LA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	346135	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528697653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLUWATOBI OHIOLE OZOYA MD, MPH

Provider Business Mailing Address
First Line	:	1000 E PRESTON AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2704
Country	:	US
Telephone Number	:	318-841-9532
Fax Number	:	318-841-9547

Provider Business Practice Location Address
First Line	:	503 MCMILLAN RD
Second Line	:	NULL
City	:	SHREVEPORT
State	:	LA
Zip	:	71105
Country	:	US
Telephone Number	:	318-329-8830
Fax Number	:	318-383-2332

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	12/18/2025

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