Individual provider

DR. ADEFOLAJU OKETOKUN, MD

CMS NPPES lists DR. ADEFOLAJU OKETOKUN as an individual provider record with NPI 1003005661. The current record reports a primary practice location in WASHINGTON, DC and primary taxonomy code 208D00000X.

NPI 1003005661Record type Type 1Primary taxonomy 208D00000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    1629 K STREET NWSUITE 300WASHINGTON, DC 200061631
  2. Additional practice location
    14520 Richmond HwyWoodbridge, VA 221912808
  3. Additional practice location
    5820 Dix St NEWashington, DC 200196965

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 207RA0401XAdditional reported taxonomy
  • 261Q00000XAdditional reported taxonomy
  • 332B00000XAdditional reported taxonomy
  • 208D00000XPrimary reported taxonomy
  • 261QU0200XAdditional reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
October 19, 2007

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.