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NPI Code Detail

MEDICARE: DR. ALAN JOSIAH AKINKUGBE M.D

MEDICARE: DR. ALAN JOSIAH AKINKUGBE 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
12084P0804XChild & Adolescent Psychiatry PhysicianME156555FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1306709OTHERLALSBME LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356761480
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN JOSIAH AKINKUGBE M.D
Provider Business Mailing Address
First Line : PO BOX 95590
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84095-0590
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 305 CORDAY ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2214
Country : US
Telephone Number : 850-908-2315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 02/23/2026

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