Provider Demographics
NPI:1134480742
Name:ADENIJI, SOLIU A
Entity Type:Individual
Prefix:
First Name:SOLIU
Middle Name:A
Last Name:ADENIJI
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 1:5522 KAREN ELAINE DR
Mailing Address - Street 2:#715
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-4105
Mailing Address - Country:US
Mailing Address - Phone:240-938-1151
Mailing Address - Fax:
Practice Address - Street 1:5522 KAREN ELAINE DR
Practice Address - Street 2:#715
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-4105
Practice Address - Country:US
Practice Address - Phone:240-938-1151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide