Provider Demographics
NPI:1134464340
Name:DANIJU, OLADIPUPO
Entity Type:Individual
Prefix:
First Name:OLADIPUPO
Middle Name:
Last Name:DANIJU
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 1:3516 6TH ST SE APT 11
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3841
Mailing Address - Country:US
Mailing Address - Phone:124-070-6123
Mailing Address - Fax:
Practice Address - Street 1:5605 NEWTON ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-1124
Practice Address - Country:US
Practice Address - Phone:240-706-1227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide