MEDICARE: DR. RAJI MOHAMMED AYINLA M.D.

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
1	207RP1001X	Pulmonary Disease Physician	208113	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164464970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJI MOHAMMED AYINLA M.D.

Provider Business Mailing Address
First Line	:	2951 GRAND CONCOURSE
Second Line	:	SUITE 1A
City	:	BRONX
State	:	NY
Zip	:	10468-1431
Country	:	US
Telephone Number	:	718-220-4380
Fax Number	:

Provider Business Practice Location Address
First Line	:	3184 GRAND CONCOURSE APT 2E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-1031
Country	:	US
Telephone Number	:	718-220-4380
Fax Number	:	718-220-4375

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	09/26/2022

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