Individual
ADEBOWALE I AJAYI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6201 GREENBELT RD, SUITE M-18, COLLEGE PARK, MD 20740-2354
(301) 313-9013
(301) 313-9015
Mailing address
6201 GREENBELT RD, SUITE M-18, BERWYN HEIGHTS, MD 20740-2354
(301) 313-9013
(301) 313-9015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D045217
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125931800
—
MD
01
—
75859903
BLUE SHIELD
MD
01
—
P00379380
RAILROAD MED
MD
Enumeration date
05/15/2006
Last updated
10/19/2011
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