Provider Demographics
NPI:1114360567
Name:ONYENSOH, SYLVIA IFEYINWA (MD, JD, MSPH)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:IFEYINWA
Last Name:ONYENSOH
Suffix:
Gender:F
Credentials:MD, JD, MSPH
Other - Prefix:DR
Other - First Name:IFEYINWA
Other - Middle Name:SYLVIA
Other - Last Name:ONYENSOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2325 DICKERSON PIKE UNIT 70165
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-4572
Mailing Address - Country:US
Mailing Address - Phone:703-962-0595
Mailing Address - Fax:
Practice Address - Street 1:2372 CEDAR ST
Practice Address - Street 2:
Practice Address - City:MC KENZIE
Practice Address - State:TN
Practice Address - Zip Code:38201-2218
Practice Address - Country:US
Practice Address - Phone:731-388-8422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-15
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101259915208D00000X
TNMD00000568362083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice