Provider Demographics
NPI:1265875850
Name:AKUNNA, ADEBOLA A (PHARMD, MPH, BCACP)
Entity type:Individual
Prefix:
First Name:ADEBOLA
Middle Name:A
Last Name:AKUNNA
Suffix:
Gender:F
Credentials:PHARMD, MPH, BCACP
Other - Prefix:
Other - First Name:ADEBOLA
Other - Middle Name:A
Other - Last Name:ADESOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, MPH, BCACP
Mailing Address - Street 1:1400 N WESTMORELAND RD RM 616
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75211-1656
Mailing Address - Country:US
Mailing Address - Phone:214-266-0500
Mailing Address - Fax:
Practice Address - Street 1:1400 N WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-1656
Practice Address - Country:US
Practice Address - Phone:214-266-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-12
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program