Provider Demographics
NPI:1093215816
Name:BELLO, BILIKIS ADEJOKE I
Entity Type:Individual
Prefix:
First Name:BILIKIS
Middle Name:ADEJOKE
Last Name:BELLO
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BILIKIS
Other - Middle Name:ADEJOKE
Other - Last Name:BELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4265 58TH AVE APT T1
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1970
Mailing Address - Country:US
Mailing Address - Phone:240-425-3331
Mailing Address - Fax:
Practice Address - Street 1:4265 58TH AVE APT T1
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710
Practice Address - Country:US
Practice Address - Phone:240-425-3331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA13143374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide