Healthcare Provider Details

I. General information

NPI: 1508091513
Provider Name (Legal Business Name): OLUWATOBI OPEYEMI ONAJOBI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11890 HEALING WAY
SILVER SPRING MD
20904-7917
US

IV. Provider business mailing address

314 HARVEST LN
GLEN BURNIE MD
21061-5211
US

V. Phone/Fax

Practice location:
  • Phone: 240-637-4000
  • Fax: 301-388-7572
Mailing address:
  • Phone: 443-762-7441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0074034
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0074034
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: