Healthcare Provider Details

I. General information

NPI: 1174477335
Provider Name (Legal Business Name): DENOOR HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935-1937 WEST PRATT ST FIRST FLOOR
BALTIMORE MD
21223
US

IV. Provider business mailing address

1935-1937 WEST PRATT ST FIRST FLOOR
BALTIMORE MD
21223
US

V. Phone/Fax

Practice location:
  • Phone: 571-232-9182
  • Fax:
Mailing address:
  • Phone: 571-232-9182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAFAYAT OLABISI BELLO-OGUNDIPE
Title or Position: DIRECTOR
Credential: CRNP
Phone: 571-232-9182