Provider Demographics
NPI:1104117522
Name:EGBELAKIN, AKINBODE SOLOMON (MD)
Entity type:Individual
Prefix:DR
First Name:AKINBODE
Middle Name:SOLOMON
Last Name:EGBELAKIN
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:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-246-9320
Mailing Address - Fax:515-643-8966
Practice Address - Street 1:1111 6TH AVE # MAIN3
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314
Practice Address - Country:US
Practice Address - Phone:515-246-9320
Practice Address - Fax:515-643-8966
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME138517208000000X
IAMD-41687208000000X, 208M00000X
TXT9559208000000X, 208M00000X
MI4301113345208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist