Healthcare Provider Details

I. General information

NPI: 1598383176
Provider Name (Legal Business Name): FOYINSOLA AMOYE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

525 E MARKET ST
AKRON OH
44304-1619
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-4100
  • Fax: 330-375-4939
Mailing address:
  • Phone: 330-375-4100
  • Fax: 330-375-4939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number99533
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: