Individual
DANITA H. AKINGBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26400 W 12 MILE RD, SUITE 140, SOUTHFIELD, MI 48034-1700
(248) 352-8200
(248) 356-8255
Mailing address
1560 E MAPLE RD, SUITE 400 CREDENTIALING, TROY, MI 48083-1138
(248) 352-8200
(248) 356-8255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2008013226
MO
207V00000X
Obstetrics & Gynecology Physician
01066710A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
4301091011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000630236
ANTHEM
IN
05
—
200953670
—
IN
Enumeration date
04/20/2006
Last updated
12/07/2021
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