| Doctor Name: | MR. OLUWAFEMI IKUSIKA |
| NPI Number: | 1902226160 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.O.T.A |
| License Number: | A02081 |
| Business Practice Address: | 8803 Baileys Ct Perry Hall, MD - 211288815 |
| Business Phone Number: | 4436211931 |
| Business Fax Number: | |
| Mailing Address: | 8803 Baileys Ct, PERRY HALL |
| State: | MD |
| Postal Code: | 211288815 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2014 |
| NPI Last Update Date: | 04/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282E00000X |
| License Number: | A02081 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Long Term Care Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |