Provider Demographics
NPI:1356915193
Name:OJO, ADEMOLA SAMUEL
Entity type:Individual
Prefix:DR
First Name:ADEMOLA
Middle Name:SAMUEL
Last Name:OJO
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:DEPARTMENT OF MEDICINE, HOWARD UNIVERSITY HOSPITAL
Mailing Address - Street 2:2041 GEORGIA AVE NW
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20060
Mailing Address - Country:US
Mailing Address - Phone:202-865-6100
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060
Practice Address - Country:US
Practice Address - Phone:202-856-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2022-11-07
Deactivation Date:2022-10-31
Deactivation Code:
Reactivation Date:2022-11-07
Provider Licenses
StateLicense IDTaxonomies
390200000X
DCMTL400001296390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program