Provider Demographics
NPI:1760231476
Name:OLUNIYI, KAYODE MOSES (MD)
Entity type:Individual
Prefix:MR
First Name:KAYODE
Middle Name:MOSES
Last Name:OLUNIYI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8643 WINANDS RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4401
Mailing Address - Country:US
Mailing Address - Phone:443-985-4092
Mailing Address - Fax:
Practice Address - Street 1:8643 WINANDS RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-4401
Practice Address - Country:US
Practice Address - Phone:443-985-4092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health