| Provider / Organization | NPI | Date Certified |
|---|---|---|
| OLATUNDE ORE FATINIKUN | 1942383450 | 2023-03-22 |
Olatunde Ore Fatinikun MD [M] graduated in 1980 and primarily specializes in Psychiatry.
Olatunde Ore Fatinikun is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942383450. Registration indicates Olatunde Ore Fatinikun is a provider of access to mental health/behavioral health providers services with a specialization in Allopathic & Osteopathic Physicians, Psychiatry & Neurology (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) Access to Mental Health/Behavioral Health Providers (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Child & Adolescent Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, ) Access to Mental Health/Behavioral Health Providers (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Allopathic & Osteopathic Physicians, Psychiatry & Neurology) (Psychiatry & Neurology: Child & Adolescent Psychiatry, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychiatry & Neurology Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians) (Psychiatry & Neurology, )
| PECOS ID | 8426025206 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Olatunde Ore Fatinikun M.D. |
| Practice Office Address | 141 N OAKWOOD AVE BRANDON, FL US |
| Practice Office Telephone | 4197940567 |
| Practice Office Fax | 4197940569 |
| Mailing Address | 141 N OAKWOOD AVE BRANDON, FL 335104629 US |
| Business Telephone | 8134455538 |
| Business Fax | 8775766793 |
| Code | Practice | License No State |
|---|---|---|
| 2084P0800X | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | 35.084081
OH |
| 2084P0804X | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Child & Adolescent Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Child & Adolescent Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | 35084081
OH |
| 2084P0804X PRIMARY | Access to Mental Health/Behavioral Health Providers Allopathic & Osteopathic Physicians Psychiatry & Neurology Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry & Neurology: Child & Adolescent Psychiatry Behavioral Health/Substance Abuse/Psychiatry Psychiatry & Neurology Child & Adolescent Psychiatry Allopathic & Osteopathic Physicians Psychiatry & Neurology | ME157788
FL |
| 193400000X SING | Group Code |
| 2518823 | MEDICAID | OH | |
| 35.084081 | OTHER | OH | MEDICAL LICENSE |
| ME157788 | OTHER | FL | MEDICAL LICENSE |