Provider Demographics
NPI:1760236764
Name:AJADI, RASHIDAT OPEYEMI
Entity Type:Individual
Prefix:
First Name:RASHIDAT
Middle Name:OPEYEMI
Last Name:AJADI
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 1:5200 QUINCY ST APT 308
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2352
Mailing Address - Country:US
Mailing Address - Phone:202-309-3248
Mailing Address - Fax:
Practice Address - Street 1:5200 QUINCY ST APT 308
Practice Address - Street 2:
Practice Address - City:BLADENSBURG
Practice Address - State:MD
Practice Address - Zip Code:20710-2352
Practice Address - Country:US
Practice Address - Phone:202-309-3248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200003599374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide