Provider Demographics
NPI:1740062165
Name:SAIBU, DEBORAH OLUWASEYI
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:OLUWASEYI
Last Name:SAIBU
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 1:248 KIRBYS LANDING CT
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-2627
Mailing Address - Country:US
Mailing Address - Phone:130-132-3328
Mailing Address - Fax:
Practice Address - Street 1:248 KIRBYS LANDING CT
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-2627
Practice Address - Country:US
Practice Address - Phone:130-132-3328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator