Provider Demographics
NPI:1407057292
Name:AKINYEMI, ESTHER O (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:O
Last Name:AKINYEMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:O
Other - Last Name:ADEDIBU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 FORD PL # 1C00
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3450
Mailing Address - Country:US
Mailing Address - Phone:313-461-9670
Mailing Address - Fax:
Practice Address - Street 1:39450 WEST 12 MILE ROAD
Practice Address - Street 2:COLUMBUS CENTER
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48337
Practice Address - Country:US
Practice Address - Phone:313-461-9670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010820152084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry