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NPI Code Detail

MEDICARE: ABIMBOLA AKINBOLADE

MEDICARE: ABIMBOLA AKINBOLADE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2207R00000XInternal Medicine PhysicianP130591NY
32084P0800XPsychiatry PhysicianP130591NY

General Provider Information

NPI Number : 1801502976
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIMBOLA AKINBOLADE
Provider Business Mailing Address
First Line : 1413 GABLES CT
Second Line :
City : PLANO
State : TX
Zip : 75075-7643
Country : US
Telephone Number : 972-655-7251
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 155 DEAN ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-2213
Country : US
Telephone Number : 718-694-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2023
Last Update Date : 06/16/2025

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Directions to “ ABIMBOLA AKINBOLADE ” Practice Location

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