Provider Demographics
NPI:1154681047
Name:OLADIPUPO, RAKHIM (HHA)
Entity Type:Individual
Prefix:
First Name:RAKHIM
Middle Name:
Last Name:OLADIPUPO
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 1:2300 GOOD HOPE RD SE APT 509
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5119
Mailing Address - Country:US
Mailing Address - Phone:202-743-8770
Mailing Address - Fax:
Practice Address - Street 1:2300 GOOD HOPE RD SE APT 509
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5119
Practice Address - Country:US
Practice Address - Phone:202-743-8770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant