National Provider Identifier
Olusoji Derek Olakanpo, MD
Olusoji Derek Olakanpo, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Horseheads, NY and a listed phone number of (607) 734-2264.
Profile Overview
- NPI
- 1013354372
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- May 28, 2013
- Last Updated
- May 14, 2021
Practice Location
- 3344 Chambers RD Ste 100
- Horseheads, NY 14845-1403
Phone: (607) 734-2264
Mailing Address
- Guthrie Southern Tier Pediatrics
- 3344 Chambers RD #200
- Horseheads, NY 14845-2925
Specialties
- Pediatrics Physician (208000000X)
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1013354372
- Entity Type
- Individual
- Last Name
- Olakanpo
- First Name
- Olusoji
- Middle Name
- Derek
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- Guthrie Southern Tier Pediatrics
- Mailing Address Line 2
- 3344 Chambers RD #200
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-2925
- Mailing Country
- US
- Mailing Phone
- (607) 734-2264
- Practice Street Address
- 3344 Chambers RD Ste 100
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-1403
- Practice Country
- US
- Practice Phone
- (607) 734-2264
- Enumeration Date
- May 28, 2013
- Last Updated
- May 14, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X), Pediatrics Physician (208000000X)