IBUKUNOLUWA FAKUNLE MD
NPI 1346896883
Student in an Organized Health Care Education/Training Program in Flint, MI
About Ibukunoluwa Fakunle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IBUKUNOLUWA FAKUNLE MD (NPI 1346896883) is an individual student in an organized health care education/training program in Flint, Michigan, licensed in Michigan (4351045160) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ibukunoluwa Fakunle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLINT, MI 48503
FLINT, MI 48503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ibukunoluwa Fakunle's NPI number?
The NPI number for Ibukunoluwa Fakunle is 1346896883. It was assigned to this individual provider in the NPPES registry on August 12, 2019.
Where is Ibukunoluwa Fakunle located?
Ibukunoluwa Fakunle practices at 1 Hurley Plz, Flint, MI 48503. The listed phone number is (810) 262-9000.
What is Ibukunoluwa Fakunle's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ibukunoluwa Fakunle enrolled in Medicare?
Yes. Ibukunoluwa Fakunle is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ibukunoluwa Fakunle was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ibukunoluwa Fakunle, MD · NPI 1346896883
Student in an Organized Health Care Education/Training Program provider in Flint, Michigan. Individual provider, active in the CMS NPPES registry since August 12, 2019.
## Identity
- **NPI:** 1346896883 (Entity type: Individual)
- **Enumerated:** August 12, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351045160 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HURLEY PLZ, Flint, MI 48503-5902
- **Phone:** (810) 262-9000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** August 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1346896883) · Data from the CMS NPPES public registry.