Provider Demographics
NPI:1366698128
Name:ALADE, OLADIMEJI JACOBS (DO)
Entity type:Individual
Prefix:DR
First Name:OLADIMEJI
Middle Name:JACOBS
Last Name:ALADE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:14300 GALLANT FOX LN STE 103
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4031
Mailing Address - Country:US
Mailing Address - Phone:240-594-0350
Mailing Address - Fax:240-594-0350
Practice Address - Street 1:14300 GALLANT FOX LN STE 103
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4031
Practice Address - Country:US
Practice Address - Phone:240-594-0350
Practice Address - Fax:240-594-0350
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH832402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry