Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olufunso W Odunukan, MD

Individual provider Cardiovascular Disease Physician · NPI 1780815308

Olufunso W Odunukan, MD is an Interventional Cardiology in Prescott, Arizona. Qualified in 2004, 22 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Georgia, Nevada and South Dakota.

Years since qualifying
22
Licensed in
AZ, GA, NV, SD
In the registry since
2009
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614
Phone: (928) 445-6025
Fax: (928) 778-3026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5380 S Rainbow Blvd Ste 226, Las Vegas, NV 89118-1879 — (702) 260-0022

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 65997 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 20655 (NV)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 80736 (GA)
Hospitalist Physician Taxonomy 208M00000X · Licence 8441 (SD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780815308
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2009
Last updated in NPPESMarch 7, 2023
Certification dateApril 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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