Awonuga, Modupe Temidayo

Awonuga, Modupe Temidayo is an individual health care provider with primary practice located at 1215 E Michigan Ave Sparrow Hospital - Neonatology, Lansing MI 48912-1811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Awonuga, Modupe Temidayo can be contacted via phone (517) 364-2188.

Contact Information

Primary practice address
1215 E Michigan Ave Sparrow Hospital - Neonatology Lansing MI 48912-1811
Phone: (517) 364-2188
Fax: (517) 364-3994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 055407 Georgia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4301089600 Michigan

Profile Details

NPI number 1720291339
LBN Legal business name Awonuga, Modupe Temidayo
Credentials M.B.B.S
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 12th, 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 1720291339 NPPES
Michigan MEDICAID 1720291339

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