Provider Demographics
NPI:1326757121
Name:OGUNNIYI, RHODA
Entity Type:Individual
Prefix:
First Name:RHODA
Middle Name:
Last Name:OGUNNIYI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6719 STERLING SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3765
Mailing Address - Country:US
Mailing Address - Phone:347-883-1808
Mailing Address - Fax:
Practice Address - Street 1:6719 STERLING SPRINGS LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3765
Practice Address - Country:US
Practice Address - Phone:347-553-1808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health