Provider Demographics
NPI:1255045274
Name:AKINDOJU, COLLINS
Entity type:Individual
Prefix:
First Name:COLLINS
Middle Name:
Last Name:AKINDOJU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 COOL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1607
Mailing Address - Country:US
Mailing Address - Phone:317-766-1753
Mailing Address - Fax:
Practice Address - Street 1:426 COOL RIDGE DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1607
Practice Address - Country:US
Practice Address - Phone:317-766-1753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver