Provider Demographics
NPI:1598027534
Name:BABAYEJU, TEMITOPE IYABO
Entity Type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:IYABO
Last Name:BABAYEJU
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 1:6317 LANDOVER RD
Mailing Address - Street 2:#101
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1318
Mailing Address - Country:US
Mailing Address - Phone:443-975-5418
Mailing Address - Fax:
Practice Address - Street 1:6317 LANDOVER RD
Practice Address - Street 2:#101
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1318
Practice Address - Country:US
Practice Address - Phone:443-975-5418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide