Provider Demographics
NPI:1710612098
Name:DANIYAN, OIZA ONASEREMI
Entity type:Individual
Prefix:
First Name:OIZA
Middle Name:ONASEREMI
Last Name:DANIYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 DECATUR TROTTER PL UNIT I
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2889
Mailing Address - Country:US
Mailing Address - Phone:202-560-0831
Mailing Address - Fax:
Practice Address - Street 1:8401 DECATUR TROTTER PL UNIT I
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2889
Practice Address - Country:US
Practice Address - Phone:202-560-0831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X
DCHHA200001821374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide