Provider Demographics
NPI:1902837495
Name:AKINDELE, OLUSOLA
Entity Type:Individual
Prefix:
First Name:OLUSOLA
Middle Name:
Last Name:AKINDELE
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 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, SUITE 001
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11360 PERRY HWY
Practice Address - Street 2:USX STEEL TOWER, 7TH FLOOR, 744
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8333
Practice Address - Country:US
Practice Address - Phone:724-935-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD057863L207P00000X, 207P00000X
MA51543207P00000X
NY179075207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016877250008Medicaid
PA217798OtherUPMC
PA8059734OtherCIGNA
PAP01332751OtherRAILROAD MEDICARE
PA25-1754199OtherVANTAGE
PA25-1754199OtherDEVON
PA25-1754199OtherMULTIPLAN
PA0016877250011Medicaid
PA262969OtherHIGHMARK
PA5427699OtherAETNA
PA0016877250004Medicaid
PA0016877250006Medicaid
PA25-1754199OtherUNITED HEALTHCARE
PA1902837495OtherHEALTH NET FEDERAL SERVICES, LLC
PA25-1754199OtherINTERGROUP
PA25-1754199OtherUNITED HEALTHCARE
PA8059734OtherCIGNA
PA5427699OtherAETNA