Healthcare Provider Details

I. General information

NPI: 1407703002
Provider Name (Legal Business Name): INIOLUWA RABIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 EASTERN AVE NE
WASHINGTON DC
20019-2833
US

IV. Provider business mailing address

350 EASTERN AVE NE
WASHINGTON DC
20019-2833
US

V. Phone/Fax

Practice location:
  • Phone: 202-248-1356
  • Fax: 202-978-5970
Mailing address:
  • Phone: 202-248-1356
  • Fax: 202-978-5970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: