Provider Demographics
NPI:1871349845
Name:AKINBI, ODUNAYO
Entity type:Individual
Prefix:
First Name:ODUNAYO
Middle Name:
Last Name:AKINBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6403 MARDEN TRL
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-7060
Mailing Address - Country:US
Mailing Address - Phone:317-657-9679
Mailing Address - Fax:
Practice Address - Street 1:6403 MARDEN TRL
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-7060
Practice Address - Country:US
Practice Address - Phone:317-657-9679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant