Healthcare Provider Details

I. General information

NPI: 1861697724
Provider Name (Legal Business Name): MOLADE SARUMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: OMOLADE SARUMI MD

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW WASHINGTON HOSPITAL CENTER, RM 4B42
WASHINGTON DC
20010-3017
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-2811
  • Fax:
Mailing address:
  • Phone: 410-933-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD037906
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD037906
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: