Active NPIIndividual provider

Dr. Enyonam Agamasu, MD

Obstetrics & Gynecology in Mesa, Arizona

NPI Number1295023935
Practice location
1705 W Main St, Mesa, AZ 85201-6920
Fax
—
Last updated
May 17, 2023

Dr. Enyonam Agamasu, MD is a Obstetrics & Gynecology based in Mesa, AZ. Dr. Enyonam Agamasu, MD holds the professional credentials of MD. The NPI number for Dr. Enyonam Agamasu, MD is 1295023935 and holds license No. 57816 (AZ). The current practice location address is 1705 W Main St, Mesa, AZ 85201-6920 and the office can be reached by phone at 480-964-2273. The NPI was assigned on July 15, 2011 and the record was last updated in NPPES on May 17, 2023.

●Provider Profile Details

NPI Number
1295023935
Provider Name
Enyonam Agamasu
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Enumeration Date
July 15, 2011
Last Update Date
May 17, 2023
Certification Date
May 17, 2023
NPI Status
Active

◉Business Practice Location Address

Address
1705 W Main St
Mesa, AZ 85201-6920
City
Mesa
State
Arizona
ZIP
85201-6920
Country
US
Phone Number
480-964-2273

Get directions →

✉Business Mailing Address

Address
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
City
Phoenix
State
AZ
ZIP
85012-2808
Phone Number
623-583-3001
Fax Number
623-974-6721

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Obstetrics & Gynecology207V00000XYes57816AZ

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Enyonam Agamasu, MD?

The NPI number of Dr. Enyonam Agamasu, MD is 1295023935. It was assigned on July 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Enyonam Agamasu, MD?

Dr. Enyonam Agamasu, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X) and holds license No. 57816 (AZ).

Where does Dr. Enyonam Agamasu, MD practice?

The practice location is 1705 W Main St, Mesa, AZ 85201-6920. The office can be reached at 480-964-2273 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295023935 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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