Healthcare Provider Details

I. General information

NPI: 1558518589
Provider Name (Legal Business Name): NUSIRAT ADEPEJU ADEBIMPE JINADU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 HARRY S TRUMAN DR N STE 550
UPPER MARLBORO MD
20774-5485
US

IV. Provider business mailing address

950 HARRY S TRUMAN DR N STE 550
UPPER MARLBORO MD
20774-5485
US

V. Phone/Fax

Practice location:
  • Phone: 301-627-3500
  • Fax: 833-559-0865
Mailing address:
  • Phone: 301-627-3500
  • Fax: 833-559-0865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301092117
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101269359
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD78226
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD78226
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: