1457631012 NPI number — DR. ATINUKE LILIAN AKINPELOYE M.D.

Table of content: DR. ATINUKE LILIAN AKINPELOYE M.D. (NPI 1457631012)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457631012 NPI number — DR. ATINUKE LILIAN AKINPELOYE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AKINPELOYE
Provider First Name:
ATINUKE
Provider Middle Name:
LILIAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ADEYEMI
Provider Other First Name:
ATINUKE
Provider Other Middle Name:
LILIAN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1457631012
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 HURLEY PLZ
Provider Second Line Business Mailing Address:
SUITE 101, DEPT OF OBSTETRICS AND GYNECOLOGY
Provider Business Mailing Address City Name:
FLINT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48503-5903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
810-262-9000
Provider Business Mailing Address Fax Number:
810-257-9076

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 HURLEY PLZ
Provider Second Line Business Practice Location Address:
SUITE 101, DEPT OF OBSTETRICS AND GYNECOLOGY
Provider Business Practice Location Address City Name:
FLINT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48503-5903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-262-9000
Provider Business Practice Location Address Fax Number:
810-257-9076
Provider Enumeration Date:
08/26/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  4301098431 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)