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

Dr. Marc T. Awobuluyi, MD

Individual provider Diagnostic Radiology Physician · NPI 1962512145

Dr. Marc T. Awobuluyi, MD practises Diagnostic Radiology in Eden Prairie, Minnesota. Graduated from Harvard Medical School in 2000, 26 years ago. Practices with Lambert Radiology Medical Group Inc, a 69-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Trained at
Harvard Medical School
Licensed in
CA
In the registry since
2006
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

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1100
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A84420 (CA)

Record details

NPI number1962512145
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Lambert Radiology Medical Group Inc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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