Provider Demographics
NPI:1346595840
Name:AKINYEMI, AYODEJI EPHREM
Entity Type:Individual
Prefix:MR
First Name:AYODEJI
Middle Name:EPHREM
Last Name:AKINYEMI
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 1:3825 64TH AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:LANDOVER HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1862
Mailing Address - Country:US
Mailing Address - Phone:202-569-0833
Mailing Address - Fax:
Practice Address - Street 1:3825 64TH AVE APT 201
Practice Address - Street 2:
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784
Practice Address - Country:US
Practice Address - Phone:202-569-0833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide