Provider Demographics
NPI:1336152396
Name:AKINTUNDE, CELEDOR HUTTO (MD)
Entity Type:Individual
Prefix:DR
First Name:CELEDOR
Middle Name:HUTTO
Last Name:AKINTUNDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CELEDOR
Other - Middle Name:HUTTO
Other - Last Name:BOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2960 CAMINO DIABLO STE 105
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-3945
Mailing Address - Country:US
Mailing Address - Phone:800-892-2695
Mailing Address - Fax:
Practice Address - Street 1:70 BIRCH ALY
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45440-1479
Practice Address - Country:US
Practice Address - Phone:800-892-2695
Practice Address - Fax:415-458-2691
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-02486207QA0401X
OH35.123232207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine