Opeyemi Fadahunsi, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

4301119018 Issued in MI

Practice address

1500 E Medical Center Dr
Floor 2 SPC 2396 a
Ann Arbor, MI 48109-5853

Phone

(734) 615-3878

NPI assigned

Aug 7, 2013

Last updated

Jul 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1740612258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "FLOOR 2 SPC 2396 A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095853",
            "telephone_number": "734-615-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "FLOOR 2 SPC 2396 A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095853",
            "telephone_number": "734-615-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADAHUNSI",
        "first_name": "OPEYEMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301119018",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT204032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Eyler
• Ez Dental PC (Excel Family Dentistry)
• Ez Telepsych LLC
• Catherine Fabian, MD
• Bryan Angelo Facione, ACNP
• Gary J Faerber, MD
• Makayla Marie Fagan
• Caitlyn Fahey
• Justin Matthew Fahey, PA-C
• Abigail Teich Fahim, M.D.

• Clinical Cardiac Electrophysiology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Cardiac Electrophysiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.