Sangodeyi, Oluyemisi R.

Sangodeyi, Oluyemisi R. is an individual health care provider with primary practice located at 1902 Harper Rd Ste Abc , Beckley WV 25801-2642. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sangodeyi, Oluyemisi R. can be contacted via phone (304) 253-3000.

Contact Information

Primary practice address
1902 Harper Rd Ste Abc Beckley WV 25801-2642
Phone: (304) 253-3000
Fax: (304) 255-7884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 21942 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 21942 West Virginia

Profile Details

NPI number 1487651717
LBN Legal business name Sangodeyi, Oluyemisi R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Oct 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487651717 NPPES
West Virginia MEDICAID 3810016416

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