Provider Demographics
NPI:1437974540
Name:AJAMU, ASHIKI
Entity type:Individual
Prefix:
First Name:ASHIKI
Middle Name:
Last Name:AJAMU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4236 LOIS ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3636
Mailing Address - Country:US
Mailing Address - Phone:248-974-7417
Mailing Address - Fax:
Practice Address - Street 1:4236 LOIS ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3636
Practice Address - Country:US
Practice Address - Phone:248-974-7417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker