Provider Demographics
NPI:1023448263
Name:AKERELE, OPEOLUWAPO
Entity type:Individual
Prefix:
First Name:OPEOLUWAPO
Middle Name:
Last Name:AKERELE
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 1:13505 ATTLEBORO CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1554
Mailing Address - Country:US
Mailing Address - Phone:240-486-6372
Mailing Address - Fax:
Practice Address - Street 1:13505 ATTLEBORO CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1554
Practice Address - Country:US
Practice Address - Phone:240-486-6372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide