Akingboyega Akinyemi Ajayi-Obe
Individual provider Active NPI Driver · Elkridge, MD
NPI 1982328076 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1982328076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 6555 Tyson PL
Elkridge, MD 21075-5808 - Phone
- (240) 491-6036
- NPI assigned
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | MD | Yes |
Addresses
Primary practice location
6555 Tyson PL
Elkridge, MD 21075-5808
Mailing address
6555 Tyson PL
Elkridge, MD 21075-5808
Phone (240) 491-6036
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.