Basic Information
Provider Information
NPI: 1093981284
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKINLAJA
FirstName: OLUKAYODE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: AKINLAJA
OtherFirstName: OLUKAYODE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 2
Mailing Information
Address1: PO BOX 11589
Address2:  
City: CHATTANOOGA
State: TN
PostalCode: 374012589
CountryCode: US
TelephoneNumber: 4237783274
FaxNumber: 4136220141
Practice Location
Address1: 979 E 3RD ST
Address2: SUITE C-725
City: CHATTANOOGA
State: TN
PostalCode: 374032136
CountryCode: US
TelephoneNumber: 4237782580
FaxNumber: 4237787489
Other Information
ProviderEnumerationDate: 05/07/2008
LastUpdateDate: 10/23/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0000X50339TNY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
207V00000X30672SCN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home