Provider Demographics
NPI:1932364072
Name:AKINRINOLA, OLUKEMI P (MD)
Entity Type:Individual
Prefix:DR
First Name:OLUKEMI
Middle Name:P
Last Name:AKINRINOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLUKEMI
Other - Middle Name:P
Other - Last Name:OLAFUSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9949 S OSWEGO ST
Mailing Address - Street 2:STE 200
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3753
Mailing Address - Country:US
Mailing Address - Phone:303-649-3100
Mailing Address - Fax:303-649-3101
Practice Address - Street 1:10371 PARKGLENN WAY
Practice Address - Street 2:STE 220
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3885
Practice Address - Country:US
Practice Address - Phone:303-649-3100
Practice Address - Fax:303-649-3101
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-07006208000000X
CO50494208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO80251889Medicaid