Provider Demographics
NPI:1720418627
Name:AJE, OLUWAKEMI ADEDAYO (MD)
Entity Type:Individual
Prefix:
First Name:OLUWAKEMI
Middle Name:ADEDAYO
Last Name:AJE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 ALLENTOWN RD STE 106
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4521
Mailing Address - Country:US
Mailing Address - Phone:571-409-1517
Mailing Address - Fax:240-301-2794
Practice Address - Street 1:5625 ALLENTOWN RD STE 106
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-4521
Practice Address - Country:US
Practice Address - Phone:571-409-1517
Practice Address - Fax:240-301-2794
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012629702084P0800X
DC0021652084P0800X
MDD00863332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry