Individual
OLUWASEYI OLUMIDE AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 306, FAIRFAX, VA 22033-1764
(703) 391-4520
(703) 391-4521
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101261196
VA
207R00000X
Internal Medicine Physician
MD-440659
PA
208M00000X
Hospitalist Physician
0101261196
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102547276
—
PA
01
—
597586
MEDICARE TPI GROUP
PA
01
—
CD4829
RAILROAD MEDICARE TPI GROUP
PA
Enumeration date
08/28/2008
Last updated
09/27/2022
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