Healthcare Provider Details

I. General information

NPI: 1528599248
Provider Name (Legal Business Name): TEMILOLA ABIMBOLA AKINOLA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TEMILOLA ABIMBOLA IBIYEMI AKINOLA M.D.

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N BROAD ST
PHILADELPHIA PA
19140-5103
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
BALTIMORE MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-7237
  • Fax: 215-707-9389
Mailing address:
  • Phone: 410-933-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD484180
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD18540
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberD0105176
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD600004896
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: