1710259676 NPI number — ABIOLA MARY JEGEDE

Table of content: ABIOLA MARY JEGEDE (NPI 1710259676)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710259676 NPI number — ABIOLA MARY JEGEDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JEGEDE
Provider First Name:
ABIOLA
Provider Middle Name:
MARY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710259676
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7600 GEORGIA AVE NW
Provider Second Line Business Mailing Address:
SUITE 323
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20012-1616
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-723-3060
Provider Business Mailing Address Fax Number:
202-723-3065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7600 GEORGIA AVE NW
Provider Second Line Business Practice Location Address:
SUITE 323
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20012-1616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-723-3060
Provider Business Practice Location Address Fax Number:
202-723-3065
Provider Enumeration Date:
02/07/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 374U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)