Healthcare Provider Details

I. General information

NPI: 1396669941
Provider Name (Legal Business Name): MR. SOLOMON OYEDELEOLA OYEDEJI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 NEW YORK AVE NE STE 203
WASHINGTON DC
20002-1849
US

IV. Provider business mailing address

1818 NEW YORK AVE NE STE 203
WASHINGTON DC
20002-1849
US

V. Phone/Fax

Practice location:
  • Phone: 800-507-5550
  • Fax: 800-707-4204
Mailing address:
  • Phone: 800-507-5550
  • Fax: 800-707-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: