| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AYOBAMIDELE AYISAT TIAMIYU | 1871269647 | 2024-08-11 |
Ayobamidele Ayisat Tiamiyu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871269647. Registration indicates Ayobamidele Ayisat Tiamiyu is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Ayobamidele Ayisat Tiamiyu MD |
| Practice Office Address | 232 W 25TH ST ERIE, PA US |
| Practice Office Telephone | 8722356742 |
| Mailing Address | 232 W 25TH ST ERIE, PA 165440002 US |
| Business Telephone | 8722356742 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | MD483464
PA |