DR. MWAWAZA MFIKIRI SANYIKA M.D. NPI 1740386143

NPI Information

NPI: 1740386143
Provider Name: DR. MWAWAZA MFIKIRI SANYIKA, M.D.
Classification: Preventive Medicine - 2083A0300X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
393 E TOWN ST STE 228
COLUMBUS, OH
ZIP 43215
Phone: (614) 418-7771
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DR. Mwawaza Mfikiri Sanyika, M.D. is an addiction medicine preventive medicine in Columbus, OH with 26 years of experience. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Mwawaza Mfikiri Sanyika, M.D. NPI is 1740386143. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

393 E TOWN ST STE 228
COLUMBUS, OH
ZIP 43215-741
Phone: (614) 418-7771
Fax: (614) 241-5595

The NPI 1740386143 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 2/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)			No
3	207Q00000X	Family Medicine		35081282	OHIO	No
4	2083A0300X	Preventive Medicine	Addiction Medicine	022839750	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000249250	OTHER	OHIO	ANTHEM PROVIDER NUMBER
2	36D1003074	OTHER	OHIO	CLIA NUMBER
3	2333942	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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