MEDICARE: MR. GBOLAGA A AKINBOYEDE RN

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	163W00000X	Registered Nurse	RN323168	OH

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	:	1437204468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GBOLAGA A AKINBOYEDE RN

Provider Business Mailing Address
First Line	:	1421 IRONWOOD DR
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8365
Country	:	US
Telephone Number	:	380-710-3661
Fax Number	:	614-488-3004

Provider Business Practice Location Address
First Line	:	2547 W BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43204-3324
Country	:	US
Telephone Number	:	614-488-2266
Fax Number	:	614-488-3004

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

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	01/22/2026

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