Provider Demographics
NPI:1043891518
Name:AKINLEYE, AKINTAYO ADEDAPO (MD, MPH, CIC)
Entity Type:Individual
Prefix:DR
First Name:AKINTAYO
Middle Name:ADEDAPO
Last Name:AKINLEYE
Suffix:
Gender:M
Credentials:MD, MPH, CIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WATERBURY HOSPITAL
Mailing Address - Street 2:64 ROBBINS STREET
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708
Mailing Address - Country:US
Mailing Address - Phone:203-573-6162
Mailing Address - Fax:203-573-6707
Practice Address - Street 1:CHASE OUTPATIENT CENTER
Practice Address - Street 2:160 ROBBINS STREET
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708
Practice Address - Country:US
Practice Address - Phone:203-573-7284
Practice Address - Fax:203-573-7031
Is Sole Proprietor?:No
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program