DR. BOLAJI OLUGBOJA NPI 1689005043

NPI Information

NPI: 1689005043
Provider Name: DR. BOLAJI OLUGBOJA
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
8515 LIBERTY RD STE B
RANDALLSTOWN, MD
ZIP 21133
Phone: (410) 301-6767
Get Directions

DR. Bolaji Olugboja is a psychiatric/mental health nurse practitioner in Randallstown, MD with 11 years of experience. DR. Bolaji Olugboja NPI is 1689005043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8515 LIBERTY RD STE B
RANDALLSTOWN, MD
ZIP 21133-832
Phone: (410) 301-6767
Fax: (410) 496-3121

The NPI 1689005043 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/10/2013 and was last updated on 12/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	R178347	MARYLAND	No
2	363LF0000X	Nurse Practitioner	Family	R178347	MARYLAND	No
3	363LP2300X	Nurse Practitioner	Primary Care	R210237	MARYLAND	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R178347	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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