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1689805418

NPI Code Detail

MEDICARE: DR. OMOWUNMI PRAISE AKINRULI M.D, FAAFP

MEDICARE: DR. OMOWUNMI PRAISE AKINRULI M.D, FAAFP

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	207Q00000X	Family Medicine Physician	C1-0009779	DE
2	207Q00000X	Family Medicine Physician	S1966	TX
3	207Q00000X	Family Medicine Physician	TPME2484	FL
4	207Q00000X	Family Medicine Physician	25MA0885200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689805418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OMOWUNMI PRAISE AKINRULI M.D, FAAFP

Provider Business Mailing Address
First Line	:	6212 EMERALDWOOD PL
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-7826
Country	:	US
Telephone Number	:	248-346-5444
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 N COIT RD STE 302
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-6656
Country	:	US
Telephone Number	:	302-401-0606
Fax Number	:	214-433-6327

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

Provider Enumeration Date	:	07/28/2009
Last Update Date	:	10/21/2021

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Directions to “ DR. OMOWUNMI PRAISE AKINRULI M.D, FAAFP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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