Provider Demographics
NPI:1215199971
Name:FAKOYA, LATIFA (DO)
Entity Type:Individual
Prefix:
First Name:LATIFA
Middle Name:
Last Name:FAKOYA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LATIFA
Other - Middle Name:
Other - Last Name:AKANDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16659 SOUTHWEST FWY STE 235
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2372
Mailing Address - Country:US
Mailing Address - Phone:281-980-2717
Mailing Address - Fax:
Practice Address - Street 1:16659 SOUTHWEST FWY STE 235
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-980-2717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9498207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX285591803Medicaid