Individual
OLUWAFUNMI ONAOPEMIPO AWONUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 MONUMENT ROAD, SUITE 1100, YORK, PA 17403-5024
(717) 851-6454
(717) 851-1665
Mailing address
800 ROSE ST # C246, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4155
KY
2086S0129X
Vascular Surgery Physician
4155
KY
2086S0129X
Vascular Surgery Physician
Primary
MD461014
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033487780001
—
PA
Enumeration date
05/11/2010
Last updated
05/06/2021
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