Individual
DR. OLATOKUNBO OLUFUNMIKE AWODELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1941 S 42ND ST, SUITE 434, OMAHA, NE 68105-2939
(402) 505-6900
(402) 991-5419
Mailing address
PO BOX 34729, OMAHA, NE 68134-0729
(402) 505-6900
(402) 991-5419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21436
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025134800
—
NE
Enumeration date
10/26/2005
Last updated
10/03/2011
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