Lydia Oluwafunke Ademuwagun, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Durham, NC
NPI 1144924622 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1144924622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 2301 Erwin Rd
Durham, NC 27705-4699 - Phone
- (919) 684-8111
- NPI assigned
- Mar 28, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
2301 Erwin Rd
Durham, NC 27705-4699
Mailing address
2301 Erwin Rd
Durham, NC 27705-4699
Other providers in Durham, NC
- Timothy Adekoya
- Oluwakemi Adekunle
- Modinat Adenike Adeleye
- Mehdi Mohammad G a Adeli
- Shqipe Ademi
- Madeline Adeniyi
- Elizabeth Aderoju
- Esther Adesina
- Modupe Olufunmilayo Adetunji
- Obinna O Adibe
All providers in Durham, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.