Healthcare Provider Details

I. General information

NPI: 1629728084
Provider Name (Legal Business Name): KAREN ADENIKE OLORUNFEMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 07/17/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 ELECTRIC RD
SALEM VA
24153-7494
US

IV. Provider business mailing address

1221 MERCANTILE LN
UPPER MARLBORO MD
20774-5374
US

V. Phone/Fax

Practice location:
  • Phone: 540-776-4000
  • Fax:
Mailing address:
  • Phone: 301-618-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0103937
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: