Provider Demographics
NPI:1033843610
Name:GANIYU, SHAKIRAT OYINDOLAPO (MD)
Entity Type:Individual
Prefix:MRS
First Name:SHAKIRAT
Middle Name:OYINDOLAPO
Last Name:GANIYU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:SHAKIRAT
Other - Middle Name:OYINDOLAPO
Other - Last Name:SHITTU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1401 E 8TH STREET
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596
Mailing Address - Country:US
Mailing Address - Phone:956-289-9473
Mailing Address - Fax:
Practice Address - Street 1:1401 E 8TH STREET
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596
Practice Address - Country:US
Practice Address - Phone:956-289-9473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2023-03-21
Deactivation Date:2023-03-13
Deactivation Code:
Reactivation Date:2023-03-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program