Provider Demographics
NPI:1083974877
Name:BELLO, AKANNI TUNDE (HHA)
Entity Type:Individual
Prefix:MR
First Name:AKANNI
Middle Name:TUNDE
Last Name:BELLO
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6313 64TH AVE
Mailing Address - Street 2:APT 4
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1507
Mailing Address - Country:US
Mailing Address - Phone:202-527-8208
Mailing Address - Fax:
Practice Address - Street 1:6313 64TH AVE
Practice Address - Street 2:APT 4
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1507
Practice Address - Country:US
Practice Address - Phone:202-527-8208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide