Provider Demographics
NPI:1477863009
Name:AKHIGBE, ELISHA
Entity Type:Individual
Prefix:MR
First Name:ELISHA
Middle Name:
Last Name:AKHIGBE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75089-7171
Mailing Address - Country:US
Mailing Address - Phone:469-288-4751
Mailing Address - Fax:
Practice Address - Street 1:6609 STURBRIDGE DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-7171
Practice Address - Country:US
Practice Address - Phone:469-288-4751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-17
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health