Provider Demographics
NPI:1396852612
Name:OGUNLARI, ANU F (MD)
Entity Type:Individual
Prefix:DR
First Name:ANU
Middle Name:F
Last Name:OGUNLARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 WHEATFIELD DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4638
Mailing Address - Country:US
Mailing Address - Phone:972-216-5800
Mailing Address - Fax:972-216-5801
Practice Address - Street 1:341 WHEATFIELD DR
Practice Address - Street 2:SUITE 270
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4638
Practice Address - Country:US
Practice Address - Phone:972-216-5800
Practice Address - Fax:972-216-5801
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9957207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX157498001Medicaid
TXTXB131401OtherMEDICARE PROVIDER ID
TX157498001Medicaid