Healthcare Provider Details

I. General information

NPI: 1700643830
Provider Name (Legal Business Name): WAJEEH SANA PHYSICIAN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 GUY PARK AVE
AMSTERDAM NY
12010-1064
US

IV. Provider business mailing address

400 GALLERIA PKWY SE STE 960
ATLANTA GA
30339-5980
US

V. Phone/Fax

Practice location:
  • Phone: 518-842-1900
  • Fax:
Mailing address:
  • Phone: 404-500-8147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BOYKIN ROBINSON
Title or Position: PRESIDENT
Credential: MD
Phone: 404-500-8147