Individual
OLUYEMISI R. SANGODEYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1902 HARPER RD STE ABC, BECKLEY, WV 25801-2642
(304) 253-3000
(304) 255-7884
Mailing address
1902 HARPER RD STE ABC, BECKLEY, WV 25801-2642
(304) 253-3000
(304) 255-7884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21942
WV
208D00000X
General Practice Physician
21942
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016416
—
WV
Enumeration date
07/01/2005
Last updated
10/12/2023
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