Provider Demographics
NPI:1194469783
Name:AKANMODE, ABIODUN MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:ABIODUN
Middle Name:MARK
Last Name:AKANMODE
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:HARLEM HOSPITAL CENTER
Mailing Address - Street 2:506 LENOX AVENUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037
Mailing Address - Country:US
Mailing Address - Phone:212-939-1000
Mailing Address - Fax:212-939-1462
Practice Address - Street 1:HARLEM HOSPITAL CENTER
Practice Address - Street 2:506 LENOX AVENUE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-939-1000
Practice Address - Fax:212-939-1462
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2023-01-24
Deactivation Date:2023-01-18
Deactivation Code:
Reactivation Date:2023-01-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program