Provider Demographics
NPI:1134167711
Name:YINKA, OLA (MD)
Entity type:Individual
Prefix:
First Name:OLA
Middle Name:
Last Name:YINKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 W PARKER RD # 149-261
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8120
Mailing Address - Country:US
Mailing Address - Phone:214-274-9314
Mailing Address - Fax:
Practice Address - Street 1:6009 W PARKER RD # 149-261
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8120
Practice Address - Country:US
Practice Address - Phone:214-274-9314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9987207L00000X, 208VP0014X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4625083-10Medicaid
TXBCBSOther8EH302
TX190871704Medicaid
MIP00146883OtherRAILROAD MEDICARE
MI0E86029013Medicare PIN
TX340951YK6UMedicare PIN
MIH81132Medicare UPIN