Provider Demographics
NPI:1962631465
Name:ONINKU, ADERONKE OLAKUNBI (DO)
Entity Type:Individual
Prefix:
First Name:ADERONKE
Middle Name:OLAKUNBI
Last Name:ONINKU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:ADERONKE
Other - Middle Name:OLAKUNBI
Other - Last Name:ADEGBILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6724 PERIMETER LOOP RD STE 185
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3202
Mailing Address - Country:US
Mailing Address - Phone:614-698-0563
Mailing Address - Fax:740-446-5486
Practice Address - Street 1:6724 PERIMETER LOOP RD STE 185
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3202
Practice Address - Country:US
Practice Address - Phone:614-698-0563
Practice Address - Fax:740-446-5486
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018498207R00000X
OH34.010362207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0057877Medicaid
WV3810026859Medicaid