Provider Demographics
NPI:1134811029
Name:AKINADE, SAMUEL ABIODUN
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:ABIODUN
Last Name:AKINADE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7032 ELLEN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-4412
Mailing Address - Country:US
Mailing Address - Phone:513-687-0667
Mailing Address - Fax:
Practice Address - Street 1:7032 ELLEN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-4412
Practice Address - Country:US
Practice Address - Phone:513-687-0667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker