Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 01066710A | IN |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301091011 | MI |
NPI | 1467417592 |
---|---|
Provider Name | Danita H. Akingba |
First Address | Troy, MI 48083-1138 |
Second Address | Southfield, MI 48034-1700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 07/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000630236 | ANTHEM (01) | IN |
200953670 | (05) | IN |
H60332 | (02) | IN |
I22563 | (02) | MD |