Healthcare Provider Details

I. General information

NPI: 1114556271
Provider Name (Legal Business Name): ALLEN SANYI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 HIGHWAY 78 E
JASPER AL
35501-8956
US

IV. Provider business mailing address

4012 LENNOX RD
VESTAVIA HILLS AL
35216-4547
US

V. Phone/Fax

Practice location:
  • Phone: 205-387-4000
  • Fax:
Mailing address:
  • Phone: 817-449-7879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number3214
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number93016
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number93016
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: