Provider Demographics
NPI:1538786983
Name:OLAONIPEKUN, SODIQ EYITAYO
Entity type:Individual
Prefix:
First Name:SODIQ
Middle Name:EYITAYO
Last Name:OLAONIPEKUN
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 1:9850 S KIRKWOOD RD APT 1915
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2582
Mailing Address - Country:US
Mailing Address - Phone:432-305-6190
Mailing Address - Fax:
Practice Address - Street 1:9850 S KIRKWOOD RD APT 1915
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2582
Practice Address - Country:US
Practice Address - Phone:432-305-6190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)