Organization
SANGODEYI SURGICAL CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLU R SANGODEYI M.D. (PRESIDENT)
(412) 269-9665
Entity
Organization
Contact information
Practice address
935 THORN RUN RD, SUITE W201, CORAOPOLIS, PA 15108-2861
(412) 269-9665
(412) 269-7985
Mailing address
935 THORN RUN RD, SUITE W201, CORAOPOLIS, PA 15108-2861
(412) 269-9665
(412) 269-7985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001961556-0002
PROMISE NUMBER
PA
Enumeration date
02/15/2007
Last updated
09/27/2007
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