Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Olusola Oduntan, MD

Individual provider Surgery Physician · NPI 1174592125

Dr. Olusola Oduntan, MD is a Thoracic Surgery in Morgantown, West Virginia. Qualified in 1990, 36 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
36
Licensed in
MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Medical Center Dr
Morgantown, WV 26506
Phone: (304) 293-4180
Fax: (304) 293-5845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 224064 (MA)
Surgery Physician Taxonomy 208600000X · Licence 224064 (MA)

Record details

NPI number1174592125
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESFebruary 19, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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