Provider Demographics
NPI:1619674181
Name:ADEYERI, ADEDAYO
Entity Type:Individual
Prefix:
First Name:ADEDAYO
Middle Name:
Last Name:ADEYERI
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 1:6313 LANDOVER RD APT 301
Mailing Address - Street 2:
Mailing Address - City:CHEVERLY
Mailing Address - State:MD
Mailing Address - Zip Code:20785-1314
Mailing Address - Country:US
Mailing Address - Phone:347-488-7770
Mailing Address - Fax:
Practice Address - Street 1:6313 LANDOVER RD APT 301
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1314
Practice Address - Country:US
Practice Address - Phone:347-488-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002552374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide