Provider Demographics
NPI:1083430136
Name:AKINDELE, OLUSEYI
Entity type:Individual
Prefix:
First Name:OLUSEYI
Middle Name:
Last Name:AKINDELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12030 KILDAVIE ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3124
Mailing Address - Country:US
Mailing Address - Phone:832-878-4746
Mailing Address - Fax:
Practice Address - Street 1:12030 KILDAVIE ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3124
Practice Address - Country:US
Practice Address - Phone:832-878-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver