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AKINOLA O AKINTADE SURGICAL ASSISTANT
NPI 1861760712
Physician Assistant - Surgical in Tucker, GA

Active since December 07, 2011
2167 NORTHLAKE PKWY STE 106, TUCKER, GA 30084(770) 492-8636(770) 492-8638 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Akinola O Akintade Surgical Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AKINOLA O AKINTADE SURGICAL ASSISTANT (NPI 1861760712) is an individual surgical provider in Tucker, Georgia, licensed in Georgia (04-143) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1861760712
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameAKINOLA O AKINTADECredential: SURGICAL ASSISTANT
Location Address2167 NORTHLAKE PKWY STE 106Tucker, GA 30084-4103
Mailing Address2167 Northlake Pkwy Ste 106Tucker, GA 30084-4103 · (770) 492-8636 · Fax (770) 492-8638
Phone(770) 492-8636
Fax(770) 492-8638
Sole ProprietorYes
Enumeration DateDecember 7, 2011
✔ NPI 1861760712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 04-143
2167 NORTHLAKE PKWY STE 106, Tucker, GA 30084
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Akinola Akintade's NPI number?

The NPI number for Akinola Akintade is 1861760712. It was assigned to this individual provider in the NPPES registry on December 7, 2011.

Where is Akinola Akintade located?

Akinola Akintade practices at 2167 Northlake Pkwy Ste 106, Tucker, GA 30084. The listed phone number is (770) 492-8636.

What is Akinola Akintade's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Akinola Akintade was last updated on December 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.