# RIDWAN AYINDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922646736
- **Gender:** Man
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP140757 | TX | Yes |

## Other

- **Enumeration date:** 12/12/2019
- **Last updated:** 07/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 408573001 | — | TX |
| 01 | — | 408573002 | CSHCN-MEDICAID | TX |
| 01 | — | 8LT463 | BCBS | TX |
| 01 | — | Q00057780 | RR-MEDICARE | TX |