Provider Demographics
NPI:1689813479
Name:AKINGBA, AJIBOLA GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:AJIBOLA
Middle Name:GEORGE
Last Name:AKINGBA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:42855 GARFIELD RD STE 112
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-5027
Mailing Address - Country:US
Mailing Address - Phone:586-228-3180
Mailing Address - Fax:586-228-3725
Practice Address - Street 1:42855 GARFIELD RD STE 112
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-5027
Practice Address - Country:US
Practice Address - Phone:586-228-3180
Practice Address - Fax:586-228-3725
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010900572086S0129X
IN01066712A2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery