Provider Demographics
NPI:1033954714
Name:HILLTOP INTERNAL MEDICINE AND ENDOCRINOLOGY LLC
Entity type:Organization
Organization Name:HILLTOP INTERNAL MEDICINE AND ENDOCRINOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEHINDE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FOLAWEWO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-346-4150
Mailing Address - Street 1:8937 HUBBARD WAY
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-3097
Mailing Address - Country:US
Mailing Address - Phone:240-346-4150
Mailing Address - Fax:
Practice Address - Street 1:6130 OXON HILL RD STE 204
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3168
Practice Address - Country:US
Practice Address - Phone:240-346-4150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty