Provider Demographics
NPI:1033379508
Name:AKINBAJO, OLUBUNMI (MD)
Entity Type:Individual
Prefix:DR
First Name:OLUBUNMI
Middle Name:
Last Name:AKINBAJO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 E 102ND ST # 111
Mailing Address - Street 2:APT. 2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-5759
Mailing Address - Country:US
Mailing Address - Phone:917-535-0753
Mailing Address - Fax:
Practice Address - Street 1:107 E 102ND ST # 111
Practice Address - Street 2:APT. 2D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5759
Practice Address - Country:US
Practice Address - Phone:917-535-0753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP59872207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology