Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 023284 | LA |
Y | 207RG0100X | Gastroenterologist | MD.10432R | LA |
NPI | 1033154406 |
---|---|
Provider Name | Aderonke F. Akingbola |
First Address | New Orleans, LA 70121 |
Second Address | Kenner, LA 70065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 17/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02035806 | (05) | MS |
1999725 | (05) | LA |
F95522 | (02) |