Individual
DR. MWAWAZA MFIKIRI SANYIKA
Active
Individual
DR. MWAWAZA MFIKIRI SANYIKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
207Q00000X
Family Medicine Physician
35081282
OH
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
022839750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000249250
ANTHEM PROVIDER NUMBER
OH
05
—
2333942
—
OH
01
—
36D1003074
CLIA NUMBER
OH
Enumeration date
09/15/2006
Last updated
02/10/2020
Update your record
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