Doctor Name: | DR. ADEFOLAJU OKETOKUN |
NPI Number: | 1003005661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | C1-0008405 |
Business Practice Address: | 1818 New York Ave Ne Suite 110 Washington, DC - 200021848 |
Business Phone Number: | 2026365136 |
Business Fax Number: | |
Mailing Address: | 1818 New York Ave Ne, Suite 110 WASHINGTON |
State: | DC |
Postal Code: | 200021848 |
Phone Number: | 2026365136 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2007 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C1-0008405 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |