Provider Demographics
NPI:1104086024
Name:OBIKOYA, KEHINDE ABIOLA (MD)
Entity type:Individual
Prefix:DR
First Name:KEHINDE
Middle Name:ABIOLA
Last Name:OBIKOYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KEHINDE
Other - Middle Name:ABIOLA
Other - Last Name:OGUNDIPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:METROCARE SERVICES, 1345 RIVER BEND DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247
Mailing Address - Country:US
Mailing Address - Phone:214-743-1272
Mailing Address - Fax:
Practice Address - Street 1:3330 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-4531
Practice Address - Country:US
Practice Address - Phone:214-371-0474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT1874522084P0800X
TXP04582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry