Individual
DR. ROLAND AKINYEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3394 MCKELVEY RD, SUITE 106, BRIDGETON, MO 63044-2531
(314) 485-5404
(314) 485-5407
Mailing address
144 FRONTENAC FRST, FRONTENAC, MO 63131-3220
(314) 485-5404
(314) 485-5407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001025556
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2001025556
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405742
UNITED HEALTH CARE
MO
01
—
193078
ANTHEM BLUE CROSS BLUE SH
MO
01
—
266887
GHP
MO
05
—
500204706
—
MO
01
—
7857612
AETNA
MO
01
—
9352175
MERCY HEALTH PLANS
MO
Enumeration date
12/07/2006
Last updated
12/23/2007
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