Provider Demographics
NPI:1205465366
Name:SANYI, ADAUGO AMAH (MD)
Entity type:Individual
Prefix:DR
First Name:ADAUGO
Middle Name:AMAH
Last Name:SANYI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADAUGO
Other - Middle Name:AMAH
Other - Last Name:SANYI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1267 PEBBLEBROOK RD SE
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-5615
Mailing Address - Country:US
Mailing Address - Phone:404-704-4066
Mailing Address - Fax:
Practice Address - Street 1:500 22ND ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-3110
Practice Address - Country:US
Practice Address - Phone:205-502-9961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program