Individual
OLUBUNMI AMAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-3140
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01078351A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001083335
ANTHEM PTAN
IN
01
—
000001083340
ANTHEM PTAN
IN
01
—
000001359782
ANTHEM PTAN
IN
05
—
300002579
—
IN
Enumeration date
03/29/2014
Last updated
05/08/2025
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