Provider Demographics
NPI:1386279941
Name:ARAMOKO MEDICAL LLC
Entity type:Organization
Organization Name:ARAMOKO MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUSHOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADELE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:301-910-6377
Mailing Address - Street 1:9526 WESTERDALE DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2455
Mailing Address - Country:US
Mailing Address - Phone:301-910-6377
Mailing Address - Fax:
Practice Address - Street 1:1328 SOUTHERN AVE SE STE 205
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4689
Practice Address - Country:US
Practice Address - Phone:301-910-6377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty