Provider Demographics
NPI:1619841343
Name:OGUNRINDE, OLANREWAJU OLADAYO
Entity type:Individual
Prefix:
First Name:OLANREWAJU
Middle Name:OLADAYO
Last Name:OGUNRINDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:OLAOYE
Other - Middle Name:
Other - Last Name:AFOLASHADE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5710 SIX FORKS RD STE 201
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-8617
Mailing Address - Country:US
Mailing Address - Phone:919-985-0401
Mailing Address - Fax:
Practice Address - Street 1:5710 SIX FORKS RD STE 201
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-8617
Practice Address - Country:US
Practice Address - Phone:919-985-0401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC8112374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty