Awonuga, Awoniyi O

Awonuga, Awoniyi O is an individual health care provider with primary practice located at 26400 W 12 Mile Rd Ste 140, Southfield MI 48034-1753. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Awonuga, Awoniyi O can be contacted via phone (248) 352-8200.

Contact Information

Primary practice address
26400 W 12 Mile Rd Ste 140 Southfield MI 48034-1753
Phone: (248) 352-8200
Fax: (248) 356-8255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 228734-1 New York
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301089357 Michigan
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 4301089357 Michigan

Profile Details

NPI number 1437156064
LBN Legal business name Awonuga, Awoniyi O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Mar 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437156064 NPPES
New York MEDICAID 02440260

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