Ayeni, Tina A

Ayeni, Tina A is an individual health care provider with primary practice located at 8111 S Emerson Ave Ste 204 , Indianapolis IN 46237-8601. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Ayeni, Tina A can be contacted via phone (317) 528-2555.

Contact Information

Primary practice address
8111 S Emerson Ave Ste 204 Indianapolis IN 46237-8601
Phone: (317) 528-2555
Fax: (317) 528-2566
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 128304 North Carolina
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 52152 Minnesota
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X P4545 Texas
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 104397 Minnesota
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 01076188A Indiana

Profile Details

NPI number 1306006218
LBN Legal business name Ayeni, Tina A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2008
Last updated Jan 4th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306006218 NPPES
Texas MEDICAID 308690201 (MDACC)

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