DR. MODUPEOLA OLUFUNMILAYO ADEWUNMI M.D NPI 1568621209

NPI Information

NPI: 1568621209
Provider Name: DR. MODUPEOLA OLUFUNMILAYO ADEWUNMI, M.D
Classification: Preventive Medicine - 2083P0500X
Entity Type: Individual

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
640 JACKSON ST
SAINT PAUL, MN
ZIP 55101
Phone: (651) 293-8269
Get Directions

DR. Modupeola Olufunmilayo Adewunmi, M.D is a preventive medicine/occupational environmental medicine preventive medicine in Saint Paul, MN. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. DR. Modupeola Olufunmilayo Adewunmi, M.D NPI is 1568621209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

640 JACKSON ST
SAINT PAUL, MN
ZIP 55101-502
Phone: (651) 293-8269
Fax: (651) 293-8195

The enumeration date for this NPI number is 6/7/2008 and was last updated on 8/5/2014.

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
1	207Q00000X	Family Medicine		11259	NORTH DAKOTA	No
2	207Q00000X	Family Medicine		138899	DISTRICT OF COLUMBIA	No
3	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	52915	MINNESOTA	Yes

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
1	138899	OTHER	DISTRICT OF COLUMBIA	DC LICENSING
2	11070	MEDICAID	NORTH DAKOTA
3	N714521	MEDICARE PIN	NORTH DAKOTA

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: 5/5/2024

NPI Synchronization or Removal

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