Akinwande, Olaguoke K
Akinwande, Olaguoke K is an individual health care provider with primary practice located at 12855 N 40 Dr Ste 205 , Saint Louis MO 63141-8670. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Akinwande, Olaguoke K can be contacted via phone (314) 255-2204.Contact Information
Primary practice address
12855 N 40 Dr Ste 205
Saint Louis MO 63141-8670
Phone: (314) 255-2204
Fax: (866) 623-8346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2016010164 | Missouri |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 2016010164 | Missouri |
Profile Details
| NPI number | 1235362252 |
|---|---|
| LBN Legal business name | Akinwande, Olaguoke K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2009 |
| Last updated | Jun 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235362252 | NPPES |
| Illinois | MEDICAID | ENROLLED | |
| Illinois | MEDICAID | 1235362252 |
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