Basic Information
Provider Information
NPI: 1811136856
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKINFOLARIN
FirstName: AKINWANDE
MiddleName: AKINBOBOLA
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1420 VICEROY DR
Address2:  
City: DALLAS
State: TX
PostalCode: 752352208
CountryCode: US
TelephoneNumber: 2143582300
FaxNumber: 2145796988
Practice Location
Address1: 411 N WASHINGTON AVE STE 7000
Address2:  
City: DALLAS
State: TX
PostalCode: 752461791
CountryCode: US
TelephoneNumber: 2143582300
FaxNumber: 2145796988
Other Information
ProviderEnumerationDate: 02/15/2009
LastUpdateDate: 02/07/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XR3465TXY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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