Basic Information
Provider Information
NPI: 1366622508
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ONUORA
FirstName: AFAMEFUNA
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 E OAK AVE
Address2:  
City: JONESBORO
State: AR
PostalCode: 724014163
CountryCode: US
TelephoneNumber: 8709356729
FaxNumber: 8702684410
Practice Location
Address1: 201 E OAK AVE
Address2:  
City: JONESBORO
State: AR
PostalCode: 724014163
CountryCode: US
TelephoneNumber: 8709356729
FaxNumber: 8702684410
Other Information
ProviderEnumerationDate: 11/05/2007
LastUpdateDate: 09/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X242968NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X15721NHN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0001XT2013-101ARY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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