Provider Demographics
NPI:1598407520
Name:AWOYEMI, TOLUWALASE AYOBAMI (MB; BS DPHIL)
Entity type:Individual
Prefix:DR
First Name:TOLUWALASE
Middle Name:AYOBAMI
Last Name:AWOYEMI
Suffix:
Gender:M
Credentials:MB; BS DPHIL
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Other - Credentials:
Mailing Address - Street 1:DR O.B. AWOYEMI'S RESIDENCE, OFF BALOGUN STREET OFF
Mailing Address - Street 2:
Mailing Address - City:OSOGBO
Mailing Address - State:OSUN STATE, NIGERIA
Mailing Address - Zip Code:230232
Mailing Address - Country:NG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MASS GENERAL HOSPITAL, 55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3017693207RC0000X
390200000X
IL125079396207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program