Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 101245436 | VA |
N | 207VG0400X | Gynecologist | D69259 | MD |
N | 207VX0000X | Obstetrician | MD038024 | DC |
NPI | 1275772493 |
---|---|
Provider Name | Dr. Adeola Abayomi |
First Address | Rockville, MD 20852-4908 |
Second Address | Springfield, VA 22150-1826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2009 |
Last Update Date | 18/11/2011 |