Provider Demographics
NPI:1639494412
Name:AFUWAPE, LUKUMAN OLUMIDE (MD)
Entity Type:Individual
Prefix:
First Name:LUKUMAN
Middle Name:OLUMIDE
Last Name:AFUWAPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:660 SIBLEY BLVD
Mailing Address - Street 2:2
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-2540
Mailing Address - Country:US
Mailing Address - Phone:224-558-6118
Mailing Address - Fax:
Practice Address - Street 1:2411 HOLMES ST # M2-302
Practice Address - Street 2:UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2741
Practice Address - Country:US
Practice Address - Phone:816-471-2072
Practice Address - Fax:816-404-0003
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.123017207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine