DR. TAIWO OKUSAMI MD NPI 1417036880

NPI Information

  • NPI: 1417036880
  • Provider Name: DR. TAIWO OKUSAMI, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 5280 LYNGATE CT
    BURKE, VA
    ZIP 22015
  • Phone: (703) 217-2487

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NPI Details

DR. Taiwo Okusami, MD is a specialist in Burke, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Taiwo Okusami, MD NPI is 1417036880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5280 LYNGATE CT
BURKE, VA
ZIP 22015-688
Phone: (703) 217-2487

The enumeration date for this NPI number is 11/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0101051317VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1437733MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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