Provider Demographics
NPI:1043998081
Name:AKINSIKU, OLUWAFOLAJIMI OLUWASIJIBOMI
Entity Type:Individual
Prefix:
First Name:OLUWAFOLAJIMI
Middle Name:OLUWASIJIBOMI
Last Name:AKINSIKU
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 1:3424 CANBERRA ST APT 201
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1705
Mailing Address - Country:US
Mailing Address - Phone:571-464-4372
Mailing Address - Fax:
Practice Address - Street 1:1818 NEW YORK AVE NE STE 221
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1851
Practice Address - Country:US
Practice Address - Phone:571-464-4372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor
No251S00000XAgenciesCommunity/Behavioral Health