Individual provider · NPI-1

Dr. Olaguoke K Akinwande, MD

Radiology, Vascular & Interventional Radiology · Saint Louis, MO

NPI number1235362252
StatusActive
Last updated in NPPESJun 20, 2022

Details

NPI
1235362252
Entity type
Individual (NPI-1)
Name
Dr. Olaguoke K Akinwande
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 25, 2009
Certification date
Jun 20, 2022
Last updated
Jun 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional Radiology2016010164MOYes
2086S0129X 2016010164MO

Practice location

12855 N 40 Dr Ste 205
Saint Louis, MO 63141-8670

Phone 314-255-2204 · Fax 866-623-8346

Mailing address

12855 N 40 Dr Ste 205
Saint Louis, MO 63141-8670

Phone 314-225-2204 · Fax 866-623-8346

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