Individual
AKINTAYO RAZAQ SOKUNBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640
(989) 488-5450
(989) 488-5455
Mailing address
4201 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640
(989) 488-5450
(989) 488-5455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086213
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301086213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F336360
BCBSM
MI
01
—
1346398971
GRP NPI
MI
01
—
205485614
TAX ID
MI
05
—
5359830
—
MI
01
—
AS086213
LICENSE
MI
Enumeration date
03/28/2008
Last updated
11/02/2016
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