Provider Demographics
NPI:1871850834
Name:OMOTOSHO, RASHEED ABIOYE
Entity Type:Individual
Prefix:
First Name:RASHEED
Middle Name:ABIOYE
Last Name:OMOTOSHO
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 1:6263 64TH AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-2963
Mailing Address - Country:US
Mailing Address - Phone:202-640-3963
Mailing Address - Fax:
Practice Address - Street 1:6263 64TH AVE
Practice Address - Street 2:APT 2
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-2963
Practice Address - Country:US
Practice Address - Phone:202-640-3963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide