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Contact Information

MOTUNRAYO O ADEGORUSI
9210 CORPORATE BLVD STE 440
ROCKVILLE, MD20850-6520
 Phone: 240-559-4838
 Fax: 516-518-0088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MOTUNRAYO O ADEGORUSI · (Female)

NPI # 1568941797
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2018
Last updated 11/20/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • DC License # RN1021767
  • DC Medicaid 096680503
  • MD Medicaid 307187100
  • VA Medicaid 30018367840001
  • DC Other CN221201613 CDS
  • MD Other N92802 CDS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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