Provider Demographics
NPI:1144853359
Name:OBADELE, OLUFEMI F
Entity type:Individual
Prefix:MR
First Name:OLUFEMI
Middle Name:F
Last Name:OBADELE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 CONCORD PIKE STE B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-1733
Mailing Address - Country:US
Mailing Address - Phone:302-689-3367
Mailing Address - Fax:302-536-2188
Practice Address - Street 1:3906 CONCORD PIKE STE B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-1733
Practice Address - Country:US
Practice Address - Phone:302-689-3367
Practice Address - Fax:302-536-2188
Is Sole Proprietor?:No
Enumeration Date:2020-02-16
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker