Provider Demographics
NPI:1669651667
Name:ONAFUYE, RASHEED A (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHEED
Middle Name:A
Last Name:ONAFUYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E ROOSEVELT BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-5170
Mailing Address - Country:US
Mailing Address - Phone:336-354-6126
Mailing Address - Fax:
Practice Address - Street 1:701 E ROOSEVELT BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5170
Practice Address - Country:US
Practice Address - Phone:336-354-6126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1291452084S0012X, 2084P0805X
OK279412084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5921569Medicaid
NCNC5800AMedicare UPIN
NC5921569Medicaid
OKOKA101282Medicare PIN