Provider Demographics
NPI:1487086922
Name:OPARAJI, TITUS
Entity type:Individual
Prefix:
First Name:TITUS
Middle Name:
Last Name:OPARAJI
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 1:3030 BRANNON HILL LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3847
Mailing Address - Country:US
Mailing Address - Phone:832-361-0499
Mailing Address - Fax:832-201-9334
Practice Address - Street 1:3030 BRANNON HILL LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3847
Practice Address - Country:US
Practice Address - Phone:832-361-0499
Practice Address - Fax:832-201-9334
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX166532164X00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX300792054Medicaid