Provider Demographics
NPI:1376372474
Name:AKINBO, RASHEED OYEDEJI
Entity type:Individual
Prefix:MR
First Name:RASHEED
Middle Name:OYEDEJI
Last Name:AKINBO
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 1:1045 TAYLOR AVE STE 108A
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8336
Mailing Address - Country:US
Mailing Address - Phone:443-741-7165
Mailing Address - Fax:667-254-4028
Practice Address - Street 1:1045 TAYLOR AVE STE 108A
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8336
Practice Address - Country:US
Practice Address - Phone:443-741-7165
Practice Address - Fax:667-254-4028
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRSA-02376374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide