Olumuyiwa Olubunmi Akinbola

Individual provider Active NPI Community/Behavioral Health Agency · Washington, DC

NPI 1124728704 · NPPES record last updated Mar 3, 2023

Key facts

NPI
1124728704
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
4130 Hunt PL NE
Washington, DC 20019-3565
Phone
(202) 388-4300
NPI assigned
Mar 3, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

4130 Hunt PL NE
Washington, DC 20019-3565

Mailing address

4331 Adkisson LN
Owings Mills, MD 21117-6974
Phone (443) 515-8995

Other providers in Washington, DC

All providers in Washington, DC · Community/Behavioral Health Agency in District of Columbia

Sources for this page

Verify at the official NPI Registry.