Provider Demographics
NPI:1629235296
Name:FALUSI, OLANREWAJU O (MD)
Entity type:Individual
Prefix:DR
First Name:OLANREWAJU
Middle Name:O
Last Name:FALUSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLANREWAJU
Other - Middle Name:O
Other - Last Name:OMOJOKUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1630 EUCLID ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5675
Mailing Address - Country:US
Mailing Address - Phone:703-600-9432
Mailing Address - Fax:
Practice Address - Street 1:1630 EUCLID ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5675
Practice Address - Country:US
Practice Address - Phone:703-600-9432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD69623208000000X
DCMD037032208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics