Healthcare Provider Details

I. General information

NPI: 1568374106
Provider Name (Legal Business Name): DR. ONAJE MAKALANI SALIM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11750 OLD GEORGETOWN RD UNIT 2415
NORTH BETHESDA MD
20852-2686
US

IV. Provider business mailing address

11750 OLD GEORGETOWN RD UNIT 2415
NORTH BETHESDA MD
20852-2686
US

V. Phone/Fax

Practice location:
  • Phone: 404-427-4884
  • Fax:
Mailing address:
  • Phone: 404-427-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC7300
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: