Healthcare Provider Details

I. General information

NPI: 1780487645
Provider Name (Legal Business Name): OLUWADAMILOLA OKE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAMILOLA OKE MD

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N 11TH ST
RICHMOND VA
23219-1901
US

IV. Provider business mailing address

PO BOX 980257
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-8683
  • Fax:
Mailing address:
  • Phone: 804-828-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0116041757
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: