Provider Demographics
NPI:1184936296
Name:AKINKUNMI, OLUFOLAKEMI ADETUTU (MD)
Entity type:Individual
Prefix:
First Name:OLUFOLAKEMI
Middle Name:ADETUTU
Last Name:AKINKUNMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OLUFOLAKEMI
Other - Middle Name:ADETUTU
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:834 CHESTNUT ST
Mailing Address - Street 2:APT 1126
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5127
Mailing Address - Country:US
Mailing Address - Phone:617-461-4729
Mailing Address - Fax:
Practice Address - Street 1:800 SPRUCE ST
Practice Address - Street 2:PENNSYLVANIA HOSPITAL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-6130
Practice Address - Country:US
Practice Address - Phone:215-839-3396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD452359207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology