Provider Demographics
NPI:1083087357
Name:SALAMI, OLUBUNMI (DR)
Entity type:Individual
Prefix:
First Name:OLUBUNMI
Middle Name:
Last Name:SALAMI
Suffix:
Gender:F
Credentials:DR
Other - Prefix:DR
Other - First Name:BUNMI
Other - Middle Name:
Other - Last Name:SALAMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DR
Mailing Address - Street 1:4920 NIAGARA RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-1110
Mailing Address - Country:US
Mailing Address - Phone:301-637-7078
Mailing Address - Fax:301-345-9200
Practice Address - Street 1:4920 NIAGARA RD
Practice Address - Street 2:SUITE 102
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1110
Practice Address - Country:US
Practice Address - Phone:301-637-7078
Practice Address - Fax:301-345-9200
Is Sole Proprietor?:No
Enumeration Date:2015-11-08
Last Update Date:2024-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3823163WE0003X
MDR208317163W00000X, 163WA2000X, 163WC0200X, 163WH0200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WH0200XNursing Service ProvidersRegistered NurseHome Health