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NPI Code Detail

MEDICARE: AUBIN NGAMI SANDIO MD

MEDICARE:   AUBIN NGAMI SANDIO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1164244992
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBIN NGAMI SANDIO MD
Provider Business Mailing Address
First Line : 756 PIPESTONE ST
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-4845
Country : US
Telephone Number : 269-926-8535
Fax Number :
Provider Business Practice Location Address
First Line : 756 PIPESTONE ST
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-4845
Country : US
Telephone Number : 269-926-8535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2024
Last Update Date : 10/31/2024

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Directions to “ AUBIN NGAMI SANDIO MD” Practice Location

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