Provider Demographics
NPI:1851546543
Name:ARANMOLATE, FUNMILAYO ADUNI (OD)
Entity Type:Individual
Prefix:DR
First Name:FUNMILAYO
Middle Name:ADUNI
Last Name:ARANMOLATE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 MEDICAL GROUP
Mailing Address - Street 2:7219 N LITCHFIELD ROAD
Mailing Address - City:LUKE AFB
Mailing Address - State:AZ
Mailing Address - Zip Code:85309-1923
Mailing Address - Country:US
Mailing Address - Phone:623-856-3130
Mailing Address - Fax:623-856-4379
Practice Address - Street 1:56 MEDICAL GROUP
Practice Address - Street 2:7219 N LITCHFIELD ROAD
Practice Address - City:LUKE AFB
Practice Address - State:AZ
Practice Address - Zip Code:85309-1923
Practice Address - Country:US
Practice Address - Phone:623-856-3130
Practice Address - Fax:623-856-4379
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2502152W00000X
SC1540152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist