Healthcare Provider Details

I. General information

NPI: 1871545863
Provider Name (Legal Business Name): YAO-FOLI SEKYEMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MEMORIAL DRIVE SUITE C
DANVILLE VA
24541
US

IV. Provider business mailing address

1040 MAIN ST P.O. 1360
DANVILLE VA
24541-1816
US

V. Phone/Fax

Practice location:
  • Phone: 434-792-6826
  • Fax: 434-792-6829
Mailing address:
  • Phone: 434-792-1433
  • Fax: 434-797-2807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number345011
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0101224727
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number9401025
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: