Provider Demographics
NPI:1629805023
Name:AKINOLA, ADERONKE OLUFUNMI
Entity type:Individual
Prefix:
First Name:ADERONKE
Middle Name:OLUFUNMI
Last Name:AKINOLA
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 1:5434 85TH AVE APT T2
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3117
Mailing Address - Country:US
Mailing Address - Phone:240-230-2731
Mailing Address - Fax:
Practice Address - Street 1:3019 MARTIN LUTHER KING JR
Practice Address - Street 2:AVE SE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-800-4433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator