Provider Demographics
NPI:1285016956
Name:OLORUNFEMI, PAUL ODUNAYO (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ODUNAYO
Last Name:OLORUNFEMI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 S IRONWOOD DR STE 103
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85120-5047
Mailing Address - Country:US
Mailing Address - Phone:480-690-5210
Mailing Address - Fax:480-690-5837
Practice Address - Street 1:750 S IRONWOOD DR STE 103
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-5047
Practice Address - Country:US
Practice Address - Phone:480-690-5210
Practice Address - Fax:480-690-5837
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-18
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME136997207R00000X, 208M00000X
AZ67599207RI0011X, 207U00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist