Healthcare Provider Details

I. General information

NPI: 1922051846
Provider Name (Legal Business Name): AKINDELE E KOLADE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3027 E SUNSET RD STE 107
LAS VEGAS NV
89120-2758
US

IV. Provider business mailing address

3027 E SUNSET RD STE 107
LAS VEGAS NV
89120-2758
US

V. Phone/Fax

Practice location:
  • Phone: 702-629-7490
  • Fax: 702-629-7685
Mailing address:
  • Phone: 702-629-7490
  • Fax: 702-629-7685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number15135
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number15135
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA84300
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: