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NPI Code Detail

MEDICARE: AJIBOLA RAJI

MEDICARE: AJIBOLA RAJI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantC0009579MD

General Provider Information

NPI Number : 1457130080
Entity Type Code : Individual
Provider Name (Legal Business Name) : AJIBOLA RAJI
Provider Business Mailing Address
First Line : 9609 HOPE SPRINGS LN
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-9323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 MEDICAL CENTER DR STE 105
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-3703
Country : US
Telephone Number : 301-615-4133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 01/21/2026

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Directions to “ AJIBOLA RAJI ” Practice Location

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