Healthcare Provider Details

I. General information

NPI: 1235468968
Provider Name (Legal Business Name): OLADUNNI T FILANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2009
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 21ST ST NW
WASHINGTON DC
20036-3390
US

IV. Provider business mailing address

1133 21ST ST NW
WASHINGTON DC
20036-3390
US

V. Phone/Fax

Practice location:
  • Phone: 202-416-2000
  • Fax:
Mailing address:
  • Phone: 202-416-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD040754
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0074927
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD040754
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: