MEDICARE: DR. KAYLA BUSUITO DO

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	207V00000X	Obstetrics & Gynecology Physician	34.015028	OH
2	207V00000X	Obstetrics & Gynecology Physician	5101023201	MI
3	207V00000X	Obstetrics & Gynecology Physician	5101028134	MI

General Provider Information

NPI Number	:	1952842486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAYLA BUSUITO DO

Provider Business Mailing Address
First Line	:	2014 BALTIMORE REYNOLDSBURG RD
Second Line	:
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-3261
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 N ROCHESTER RD STE 210
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4378
Country	:	US
Telephone Number	:	248-650-1534
Fax Number	:	248-650-1537

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

Provider Enumeration Date	:	03/16/2017
Last Update Date	:	02/24/2025

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Directions to “ DR. KAYLA BUSUITO DO” Practice Location

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