Basic Information
| Provider Information | |||||||||
| NPI: | 1639494412 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | AFUWAPE | ||||||||
| FirstName: | LUKUMAN | ||||||||
| MiddleName: | OLUMIDE | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 660 SIBLEY BLVD | ||||||||
| Address2: | 2 | ||||||||
| City: | CALUMET CITY | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604092540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2245586118 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2411 HOLMES ST # M2-302 | ||||||||
| Address2: | UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM | ||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641082741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8164712072 | ||||||||
| FaxNumber: | 8164040003 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2010 | ||||||||
| LastUpdateDate: | 11/02/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 35.123017 | OH | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.