Provider Demographics
NPI:1841227808
Name:AJELABI, AKINYINKA A (MD)
Entity type:Individual
Prefix:DR
First Name:AKINYINKA
Middle Name:A
Last Name:AJELABI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 KINGWOOD MEDICAL DR STE B100
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6010
Mailing Address - Country:US
Mailing Address - Phone:281-864-0322
Mailing Address - Fax:832-644-9032
Practice Address - Street 1:201 KINGWOOD MEDICAL DR STE B100
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6010
Practice Address - Country:US
Practice Address - Phone:281-446-6803
Practice Address - Fax:832-644-9032
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1247207RP1001X, 207RS0012X, 207RC0200X
WI1904207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN1247OtherMEDICAL LICENSE
MS00125056Medicaid
TXN1247OtherMEDICAL LICENSE
MS512I290003Medicare PIN
MS00125056Medicaid