1285164871 NPI number — ABAYOMI T AYODELE

Table of content: ABAYOMI T AYODELE (NPI 1285164871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285164871 NPI number — ABAYOMI T AYODELE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AYODELE
Provider First Name:
ABAYOMI
Provider Middle Name:
T
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1285164871
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7737 RIVERDALE RD APT 103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CARROLLTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20784-3904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
347-885-4984
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7737 RIVERDALE ROAD
Provider Second Line Business Practice Location Address:
APT 103
Provider Business Practice Location Address City Name:
NEW CARROLLTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20784
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
347-885-4984
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2017

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: 374U00000X , with the licence number:  HHA12673 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: A340029784706 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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