Provider Demographics
NPI:1740445139
Name:AKINTADE, SOLAIDE T (MD)
Entity type:Individual
Prefix:DR
First Name:SOLAIDE
Middle Name:T
Last Name:AKINTADE
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 1:735 PINEPOINT RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7758
Mailing Address - Country:US
Mailing Address - Phone:240-988-6558
Mailing Address - Fax:
Practice Address - Street 1:735 PINEPOINT RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7758
Practice Address - Country:US
Practice Address - Phone:240-988-6558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00890272083P0901X
DCMD046770208D00000X
FLME138057208D00000X
NC2023-03124208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine