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Individual

DR. OLAKITAN TOMI AKINJAGUNLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 PINE STREET, TEXARKANA, AR 75501
(903) 798-8887
Mailing address
11506 BRIGIT CT, BOWIE, MD 20720-4417
(301) 793-4776

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101055006
VA
207P00000X
Emergency Medicine Physician
L2084
TX
207R00000X
Internal Medicine Physician
Primary
L2084
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148976711
TX
05
1881608727
VA
05
3810012611
WV
Enumeration date
07/28/2006
Last updated
05/12/2011
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