Provider Demographics
NPI:1598037210
Name:OLANIYAN, RACHEL UAGBOR
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:UAGBOR
Last Name:OLANIYAN
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 1:5820 DIX ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6965
Mailing Address - Country:US
Mailing Address - Phone:202-547-3870
Mailing Address - Fax:202-399-0849
Practice Address - Street 1:5820 DIX ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6965
Practice Address - Country:US
Practice Address - Phone:202-547-3870
Practice Address - Fax:202-399-0849
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator