P Praxis·MD
● Active Type 1 · Individual

DR. Iyabo O Otekunrin, MD

Student in an Organized Health Care Education/Training Program·Atlanta, GA· NPI 1437634417 · Enumerated 2018 · 7 years on NPI
Otekunrin is 1 of 3310 student in an organized health care education/training program providers in Atlanta and 1 of 6569 in Georgia.
NPI age
7 years
Enumerated 2018-09-26
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 2 subspecialties
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-09-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 6569 active student in an organized health care education/training program providers in Georgia.

NPI age
7 years
↑ 5 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
2
In the 6% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-09Enumerated in NPPES
2018 2026

Where they practice

Practice location
1000 Briarcliff Rd Ne
Atlanta, GA 303062618
📞 4046984281
Mailing address
1410 Willow Lake Dr Ne
Atlanta, GA 303292804
📞 6788869651

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X
  • Nutritionist
    A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals...
    taxonomy 133N00000X
  • Poetry Therapist
    A medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the National Federation for Biblio/Poetry Therapy (NFBPT). Training includes didactic...
    taxonomy 102X00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 211 new student in an organized health care education/training program providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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