| Doctor Name: | HAKIM OGUNSANYA |
| NPI Number: | 1992166193 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | R184091 |
| Business Practice Address: | 12001 Margaret Ct Marriottsville, MD - 211041443 |
| Business Phone Number: | 3019067349 |
| Business Fax Number: | |
| Mailing Address: | 12001 Margaret Ct, MARRIOTTSVILLE |
| State: | MD |
| Postal Code: | 211041443 |
| Phone Number: | 3019067349 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2016 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0810X |
| License Number: | R184091 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Family |
| Taxonomy Definition: | |