Healthcare Provider Details

I. General information

NPI: 1063396232
Provider Name (Legal Business Name): ENAAYA Y SAYANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1462 CLIFTON RD NE STE 280
ATLANTA GA
30322-1063
US

IV. Provider business mailing address

1094 CHETWOOD DR
CAROL STREAM IL
60188-4324
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-7825
  • Fax:
Mailing address:
  • Phone: 630-362-0192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: