1265630750 NPI number — ABAYOMI ISHMAEL JAJI MD

Table of content: ABAYOMI ISHMAEL JAJI MD (NPI 1265630750)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265630750 NPI number — ABAYOMI ISHMAEL JAJI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JAJI
Provider First Name:
ABAYOMI
Provider Middle Name:
ISHMAEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265630750
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3808 COTTON TREE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURTONSVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20866-3110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-472-4382
Provider Business Mailing Address Fax Number:
301-421-5980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2700 MARTIN LUTHER KING JR AVE SE
Provider Second Line Business Practice Location Address:
JHP
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-645-4900
Provider Business Practice Location Address Fax Number:
202-645-8733
Provider Enumeration Date:
07/05/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084F0202X , with the licence number:  DCMD32236 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2084P0800X , with the licence number: DCMD32236 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2084P0805X , with the licence number: DCMD32236 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)