Provider Demographics
NPI:1609873934
Name:AKINSANYA-BEYSOLOW, IYABODE F (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:IYABODE
Middle Name:F
Last Name:AKINSANYA-BEYSOLOW
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3305 HIDDEN TRAIL RD SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-2442
Mailing Address - Country:US
Mailing Address - Phone:404-699-1339
Mailing Address - Fax:404-699-1380
Practice Address - Street 1:3915 CASCADE RD SW
Practice Address - Street 2:PROMENADE PARK BUILDING,SUITE 310
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8512
Practice Address - Country:US
Practice Address - Phone:404-699-1339
Practice Address - Fax:404-699-1380
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA044618208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics