Provider Demographics
NPI:1992422364
Name:EKUNDAYO, FOLAJIMI
Entity type:Individual
Prefix:
First Name:FOLAJIMI
Middle Name:
Last Name:EKUNDAYO
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 1:3204 JUDGE HOLLAND LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5297
Mailing Address - Country:US
Mailing Address - Phone:346-804-1264
Mailing Address - Fax:
Practice Address - Street 1:3204 JUDGE HOLLAND LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5297
Practice Address - Country:US
Practice Address - Phone:346-804-1264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle