Provider Demographics
NPI:1255695102
Name:OSHO, OLAYINKA SAMSON
Entity type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:SAMSON
Last Name:OSHO
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 1:5804 ANNAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2076
Mailing Address - Country:US
Mailing Address - Phone:202-469-9999
Mailing Address - Fax:
Practice Address - Street 1:5101 WISCONSIN AVE NW
Practice Address - Street 2:SUITE 250
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4120
Practice Address - Country:US
Practice Address - Phone:202-526-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide