Provider Demographics
NPI:1578263448
Name:GAKOYE, AICHATOU SOULEY
Entity Type:Individual
Prefix:
First Name:AICHATOU
Middle Name:SOULEY
Last Name:GAKOYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7978 WELCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2532
Mailing Address - Country:US
Mailing Address - Phone:317-603-4840
Mailing Address - Fax:
Practice Address - Street 1:7978 WELCHWOOD DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2532
Practice Address - Country:US
Practice Address - Phone:317-603-4840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant