Provider Demographics
NPI:1619765047
Name:MALUMI, THOMSPON FEMI
Entity type:Individual
Prefix:
First Name:THOMSPON
Middle Name:FEMI
Last Name:MALUMI
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 1:14302 TERRACE GREENE CIR
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22923-2891
Mailing Address - Country:US
Mailing Address - Phone:240-210-4697
Mailing Address - Fax:
Practice Address - Street 1:14302 TERRACE GREENE CIR
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22923-2891
Practice Address - Country:US
Practice Address - Phone:240-210-4697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator