Provider Demographics
NPI:1033582622
Name:AKINSETE, TEMITOPE
Entity Type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:
Last Name:AKINSETE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7903 ORION CIR
Mailing Address - Street 2:APT 209B
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-3101
Mailing Address - Country:US
Mailing Address - Phone:240-593-2889
Mailing Address - Fax:
Practice Address - Street 1:7903 ORION CIR
Practice Address - Street 2:APT 101B
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-3101
Practice Address - Country:US
Practice Address - Phone:240-593-2889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251E00000X
DCHHA11724374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health