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NPI Code Detail

MEDICARE: PAUL AJIBOLA AFOLAYAN

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
1374U00000XHome Health AideIN

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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