Provider Demographics
NPI:1770759854
Name:ONWUEMENE, OLUWATOYOSI (MD)
Entity type:Individual
Prefix:
First Name:OLUWATOYOSI
Middle Name:
Last Name:ONWUEMENE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OLUWATOYOSI
Other - Middle Name:
Other - Last Name:FATUNASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:201 TRENT DR
Mailing Address - Street 2:BOX 3422
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3037
Mailing Address - Country:US
Mailing Address - Phone:919-684-5350
Mailing Address - Fax:919-681-1177
Practice Address - Street 1:201 TRENT DR
Practice Address - Street 2:BOX 3422
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-3037
Practice Address - Country:US
Practice Address - Phone:919-684-5350
Practice Address - Fax:919-681-1177
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.124718207R00000X
NC2013-01386207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine