Provider Demographics
NPI:1528731395
Name:MARTINS, OLAYINKA
Entity type:Individual
Prefix:
First Name:OLAYINKA
Middle Name:
Last Name:MARTINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 DODGE PARK RD APT T3
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2118
Mailing Address - Country:US
Mailing Address - Phone:240-716-0914
Mailing Address - Fax:
Practice Address - Street 1:3322 DODGE PARK RD APT T3
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2118
Practice Address - Country:US
Practice Address - Phone:240-716-0914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide