Provider Demographics
NPI:1588094338
Name:AKINDELE, RAFIAT ADETOLA
Entity type:Individual
Prefix:
First Name:RAFIAT
Middle Name:ADETOLA
Last Name:AKINDELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7806 HANOVER PKWY APT 303
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2617
Mailing Address - Country:US
Mailing Address - Phone:240-339-4722
Mailing Address - Fax:301-345-1241
Practice Address - Street 1:7806 HANOVER PKWY APT 303
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2617
Practice Address - Country:US
Practice Address - Phone:240-328-7122
Practice Address - Fax:301-345-1241
Is Sole Proprietor?:No
Enumeration Date:2013-11-14
Last Update Date:2020-10-15
Deactivation Date:2020-09-28
Deactivation Code:
Reactivation Date:2020-10-15
Provider Licenses
StateLicense IDTaxonomies
DCHHA9656374U00000X
DCRN1052060163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No374U00000XNursing Service Related ProvidersHome Health Aide