Provider Demographics
NPI:1346229069
Name:TONEY, MORAKINYO A O (MD)
Entity Type:Individual
Prefix:DR
First Name:MORAKINYO
Middle Name:A O
Last Name:TONEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:514 CREEK BLF
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-8962
Mailing Address - Country:US
Mailing Address - Phone:707-854-0371
Mailing Address - Fax:706-787-0302
Practice Address - Street 1:514 CREEK BLF
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-8962
Practice Address - Country:US
Practice Address - Phone:706-787-2060
Practice Address - Fax:706-787-0302
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-113672085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology