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

Omolola P Fakunle

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083194294

Omolola P Fakunle is an Orthopedic Surgery in Boston, Massachusetts. Graduated from Emory University School of Medicine in 2021, 5 years ago. Licensed in Massachusetts.

Years since qualifying
5
Trained at
Emory University School of Medicine
Licensed in
MA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boston, MA

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 1026993 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083194294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2018
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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