Roland Akinyede, Md | |
3394 Mckelvey Rd Suite 106 Bridgeton MO 63044-2531 | |
(314) 485-5404 | |
(314) 485-5407 |
Full Name | Roland Akinyede, Md |
---|---|
Speciality | Internal Medicine |
Location | 3394 Mckelvey Rd, Bridgeton, Missouri |
Authorized Official Name and Position | Roland O Akinyede (PRESIDENT) |
Authorized Official Contact | 3144855404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Roland Akinyede, Md 3394 Mckelvey Rd Suite 106 Bridgeton MO 63044-2531 Ph: (314) 485-5404 | Roland Akinyede, Md 3394 Mckelvey Rd Suite 106 Bridgeton MO 63044-2531 Ph: (314) 485-5404 |
NPI Number | 1942484225 |
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Provider Enumeration Date | 12/23/2007 |
Last Update Date | 12/23/2007 |
Medicare PECOS PAC ID | 1153340377 |
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Medicare Enrollment ID | O20051117000042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942484225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Roland Akinyede |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669531489 PECOS PAC ID: 6709841760 Enrollment ID: I20041201000642 |
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