Provider Demographics
NPI:1275091357
Name:CONTEH, SAMMY ADO
Entity Type:Individual
Prefix:
First Name:SAMMY
Middle Name:ADO
Last Name:CONTEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5685 IRONWOOD CT APT A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-4347
Mailing Address - Country:US
Mailing Address - Phone:240-543-3335
Mailing Address - Fax:
Practice Address - Street 1:5685 IRONWOOD CT APT A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-4347
Practice Address - Country:US
Practice Address - Phone:240-543-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator