Provider Demographics
NPI:1942484225
Name:METRO INTERNAL MEDICINE LLC
Entity Type:Organization
Organization Name:METRO INTERNAL MEDICINE LLC
Other - Org Name:ROLAND AKINYEDE, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:O
Authorized Official - Last Name:AKINYEDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-485-5404
Mailing Address - Street 1:3394 MCKELVEY RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2531
Mailing Address - Country:US
Mailing Address - Phone:314-485-5404
Mailing Address - Fax:314-485-5407
Practice Address - Street 1:3394 MCKELVEY RD
Practice Address - Street 2:SUITE 106
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2531
Practice Address - Country:US
Practice Address - Phone:314-485-5404
Practice Address - Fax:314-485-5407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-23
Last Update Date:2007-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty