=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346421856
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AYORINDE AKINRINLOLA M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/27/2007
-----------------------------------------------------
Last Update Date | 09/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21475 RIDGETOP CIR STE 350
-----------------------------------------------------
City | STERLING
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20166-6580
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-631-7488
-----------------------------------------------------
Fax | 571-631-7489
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21475 RIDGETOP CIR STE 350
-----------------------------------------------------
City | STERLING
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20166-6580
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 571-631-7488
-----------------------------------------------------
Fax | 571-631-7489
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2086S0129X
-----------------------------------------------------
Taxonomy Name | Vascular Surgery Physician
-----------------------------------------------------
License Number | 036173662
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2086S0129X
-----------------------------------------------------
Taxonomy Name | Vascular Surgery Physician
-----------------------------------------------------
License Number | 29811
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 2086S0129X
-----------------------------------------------------
Taxonomy Name | Vascular Surgery Physician
-----------------------------------------------------
License Number | 0101250786
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------