Provider Demographics
NPI:1033810940
Name:AKANJI, OLAYINKA JOHNSON
Entity Type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:JOHNSON
Last Name:AKANJI
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 1:2425 YARMOUTH LN
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-1134
Mailing Address - Country:US
Mailing Address - Phone:240-495-8418
Mailing Address - Fax:
Practice Address - Street 1:2425 YARMOUTH LN
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-1134
Practice Address - Country:US
Practice Address - Phone:240-495-8418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker