National Provider Identifier Database

TIWADAYO C SAM ODUSINA, MD – NPI #1235749839
Pediatric Pulmonology

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.


Contact Information

TIWADAYO C SAM ODUSINA, MD
101 DUDLEY ST
PROVIDENCE, RI02905-2401
Phone: 401-274-1122
Fax: 401-453-7571
Website:
Specialty Taxonomy Code
* Pediatric Pulmonology 2080P0214X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for TIWADAYO C SAM ODUSINA

NPI Number 1235749839
Credentials MD
Entity Individual
Enumeration date 08/07/2020
Last updated 05/04/2026 - About a month ago
Sole proprietor1 Yes
Identifiers
  • RI License #: MD21092
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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