Provider Demographics
NPI:1396004099
Name:AKANBI, OLABISI OLAITAN (MD)
Entity type:Individual
Prefix:
First Name:OLABISI
Middle Name:OLAITAN
Last Name:AKANBI
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 1:1005 DR. D.B. TODD JR. BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3599
Mailing Address - Country:US
Mailing Address - Phone:615-341-4397
Mailing Address - Fax:615-341-4434
Practice Address - Street 1:1005 DR. D.B. TODD JR. BOULEVARD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3599
Practice Address - Country:US
Practice Address - Phone:615-341-4397
Practice Address - Fax:615-341-4434
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN39207R00000X
UT14101843-1235207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology