Provider Demographics
NPI:1730146705
Name:DAIRO, OMOLARA Y (MD)
Entity type:Individual
Prefix:
First Name:OMOLARA
Middle Name:Y
Last Name:DAIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OMOLARA
Other - Middle Name:YEWANDE
Other - Last Name:ADEGBITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4335 W. DUBLIN - GRANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017
Mailing Address - Country:US
Mailing Address - Phone:614-889-7772
Mailing Address - Fax:614-764-0843
Practice Address - Street 1:4335 W. DUBLIN - GRANVILLE RD.
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-889-7772
Practice Address - Fax:614-764-0843
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35078015208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics