Provider Demographics
NPI:1336496728
Name:AKANDE, OLAIDE O (MD)
Entity type:Individual
Prefix:
First Name:OLAIDE
Middle Name:O
Last Name:AKANDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2740 PROSPERITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4354
Mailing Address - Country:US
Mailing Address - Phone:703-321-2600
Mailing Address - Fax:703-321-2603
Practice Address - Street 1:9304 FOREST POINT CIR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4700
Practice Address - Country:US
Practice Address - Phone:703-396-8390
Practice Address - Fax:703-396-8393
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2023-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD042909207RI0200X
VA0101269300207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease