Provider Demographics
NPI:1174317515
Name:IYUN, OLUWATOSIN BUSOLA (MD)
Entity type:Individual
Prefix:DR
First Name:OLUWATOSIN
Middle Name:BUSOLA
Last Name:IYUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHWEST MEDICAL CENTER/NORTHWEST MEDICAL PLAZA
Mailing Address - Street 2:1980 WEST HOSPITAL DRIVE SUITE 210
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741
Mailing Address - Country:US
Mailing Address - Phone:520-469-8405
Mailing Address - Fax:
Practice Address - Street 1:INTERNAL MEDICINE RESIDENCY PROGRAM NORTHWEST MEDICAL C
Practice Address - Street 2:6200 N LA CHOLLA BLVD
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-742-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program