Provider Demographics
NPI:1952150716
Name:OLUNIYI, CATHERINE FUNMI
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:FUNMI
Last Name:OLUNIYI
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 1:3502 W ROGERS AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-4749
Mailing Address - Country:US
Mailing Address - Phone:443-814-2428
Mailing Address - Fax:
Practice Address - Street 1:3502 W ROGERS AVE STE 1
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4749
Practice Address - Country:US
Practice Address - Phone:443-814-2428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator