Provider Demographics
NPI:1659054997
Name:AKINLEYE, AKINWALE OLUKAYODE
Entity Type:Individual
Prefix:
First Name:AKINWALE
Middle Name:OLUKAYODE
Last Name:AKINLEYE
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 1:4783 CLAIRELEE DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4759
Mailing Address - Country:US
Mailing Address - Phone:301-979-2350
Mailing Address - Fax:
Practice Address - Street 1:8615 E VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-4316
Practice Address - Country:US
Practice Address - Phone:301-912-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator