Healthcare Provider Details

I. General information

NPI: 1164122198
Provider Name (Legal Business Name): DAOUDA GAMYS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12455 PRAIRIE VIEW DR NW
PICKERINGTON OH
43147-7637
US

IV. Provider business mailing address

12455 PRAIRIE VIEW DR NW
PICKERINGTON OH
43147-7637
US

V. Phone/Fax

Practice location:
  • Phone: 929-258-9264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: