Provider Demographics
NPI:1598028045
Name:TUBI, OLAPEJU
Entity Type:Individual
Prefix:
First Name:OLAPEJU
Middle Name:
Last Name:TUBI
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 1:318 THOMAS DR
Mailing Address - Street 2:APT 1
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4721
Mailing Address - Country:US
Mailing Address - Phone:301-362-8555
Mailing Address - Fax:
Practice Address - Street 1:318 THOMAS DR
Practice Address - Street 2:APT 1
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4721
Practice Address - Country:US
Practice Address - Phone:301-362-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide