Provider Demographics
NPI:1578208831
Name:AKINSANMI, LABBY KOLA
Entity Type:Individual
Prefix:MR
First Name:LABBY
Middle Name:KOLA
Last Name:AKINSANMI
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 1:6500 IVY TER
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5850
Mailing Address - Country:US
Mailing Address - Phone:301-728-5957
Mailing Address - Fax:
Practice Address - Street 1:2537 BLADENSBURG RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1420
Practice Address - Country:US
Practice Address - Phone:301-728-5957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator