Provider Demographics
NPI:1013151265
Name:AKINTONDE, OLADAPO AKINGBADE (MD)
Entity type:Individual
Prefix:
First Name:OLADAPO
Middle Name:AKINGBADE
Last Name:AKINTONDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVY CLINIC BLDG 1164, 36TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93043-0001
Mailing Address - Country:US
Mailing Address - Phone:805-982-6341
Mailing Address - Fax:
Practice Address - Street 1:NAVY CLINIC
Practice Address - Street 2:162 FIRST AVENUE BLDG 1402
Practice Address - City:PORT HUENEME
Practice Address - State:CA
Practice Address - Zip Code:93021
Practice Address - Country:US
Practice Address - Phone:805-982-6341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.078849207Q00000X
CAC181332207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine