Provider Demographics
NPI:1467645283
Name:AYENI, OLAYINKA M (MD)
Entity Type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:M
Last Name:AYENI
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 1:6 N ABRAM CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77382-2037
Mailing Address - Country:US
Mailing Address - Phone:281-364-3546
Mailing Address - Fax:
Practice Address - Street 1:6601 CYPRESSWOOD DR
Practice Address - Street 2:STE 219
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7893
Practice Address - Country:US
Practice Address - Phone:281-803-5880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP53292084P0804X, 208M00000X
CT047032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry