Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4351048243 | MI |
NPI | 1003499625 |
---|---|
Provider Name | Ayodeji Akadiri |
First Address | Southfield, MI 48075-4818 |
Second Address | Southfield, MI 48075-4818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2021 |
Last Update Date | 04/07/2021 |