MEDICARE: PAUL AJIBOLA AFOLAYAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		IN

General Provider Information

NPI Number	:	1346115565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL AJIBOLA AFOLAYAN

Provider Business Mailing Address
First Line	:	3926 BONN DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46228-6790
Country	:	US
Telephone Number	:	317-361-1012
Fax Number	:

Provider Business Practice Location Address
First Line	:	4425 REDHAVEN DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-1052
Country	:	US
Telephone Number	:	317-631-1012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	10/07/2025

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Directions to “ PAUL AJIBOLA AFOLAYAN ” Practice Location

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