MEDICARE: TEMITAYO OYEKAN D.O.

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	207R00000X	Internal Medicine Physician	4107	OK

General Provider Information

NPI Number	:	1710966122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEMITAYO OYEKAN D.O.

Provider Business Mailing Address
First Line	:	6600 S YALE AVE STE 1400
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-3331
Country	:	US
Telephone Number	:	918-307-3250
Fax Number	:	918-307-3251

Provider Business Practice Location Address
First Line	:	10505 E 91ST ST STE 201
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-5829
Country	:	US
Telephone Number	:	918-307-3250
Fax Number	:	918-307-3251

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

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	07/26/2022

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Directions to “ TEMITAYO OYEKAN D.O.” Practice Location

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