MODUPEOLA O. ADEWUNMI M.D – NPI #1568621209
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

MODUPEOLA ADEWUNMI is a physician located in SAINT PAUL, MN. NPPES has assigned the NPI number 1568621209 to MODUPEOLA ADEWUNMI on June 07, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was previously updated about 12 years ago on Aug 05, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODUPEOLA ADEWUNMI below.

NPI Profile for
MODUPEOLA O. ADEWUNMI

NPI Number
1568621209
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MODUPEOLA O. ADEWUNMI
Credentials
M.D
Primary location
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone: (651) 293-8269 Fax: (651) 293-8195
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MODUPEOLA ADEWUNMI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDC LICENSINGDC138899
MEDICAIDND11070
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)
MN 52915
207Q00000X
- Family Medicine
DC 138899

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.