| Roland Akinyede, MD | |
|
3394 Mckelvey Rd Suite 106 Bridgeton MO 63044-2531 | |
| (314) 485-5404 | |
| (314) 485-5407 |
| Full Name | Roland Akinyede, MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 3394 Mckelvey Rd, Bridgeton, Missouri |
| Authorized Official Name and Position | Roland O Akinyede (PRESIDENT) |
| Authorized Official Contact | 3144855404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roland Akinyede, MD 3394 Mckelvey Rd Suite 106 Bridgeton MO 63044-2531 Ph: (314) 485-5404 | Roland Akinyede, MD 3394 Mckelvey Rd Suite 106 Bridgeton MO 63044-2531 Ph: (314) 485-5404 |
| NPI Number | 1942484225 |
|---|---|
| Provider Enumeration Date | 12/23/2007 |
| Last Update Date | 12/23/2007 |
| Medicare PECOS PAC ID | 1153340377 |
|---|---|
| Medicare Enrollment ID | O20051117000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942484225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Roland Akinyede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669531489 PECOS PAC ID: 6709841760 Enrollment ID: I20041201000642 |
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