Provider Demographics
NPI:1487932802
Name:OPELAMI, OLUWATOYIN VIVIAN (MD)
Entity type:Individual
Prefix:
First Name:OLUWATOYIN
Middle Name:VIVIAN
Last Name:OPELAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OLUWATOYIN
Other - Middle Name:VIVIAN
Other - Last Name:OKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 23247
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-0247
Mailing Address - Country:US
Mailing Address - Phone:440-318-1618
Mailing Address - Fax:
Practice Address - Street 1:1991 CROCKER RD # 600-755
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-6969
Practice Address - Country:US
Practice Address - Phone:440-318-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.019138207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine