Provider Demographics
NPI:1780556662
Name:MAKINDE, ARILEWO RACHAEL
Entity type:Individual
Prefix:
First Name:ARILEWO
Middle Name:RACHAEL
Last Name:MAKINDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6072 MARX CT
Mailing Address - Street 2:
Mailing Address - City:OTSEGO
Mailing Address - State:MN
Mailing Address - Zip Code:55301-1100
Mailing Address - Country:US
Mailing Address - Phone:763-267-4007
Mailing Address - Fax:
Practice Address - Street 1:6072 MARX CT
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MN
Practice Address - Zip Code:55301-1100
Practice Address - Country:US
Practice Address - Phone:763-267-4007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN133702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry