Provider Demographics
NPI:1689444317
Name:ACHI AYAH, SUNDAY
Entity Type:Individual
Prefix:
First Name:SUNDAY
Middle Name:
Last Name:ACHI AYAH
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 1:6730 4TH AVE APT 113
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2670
Mailing Address - Country:US
Mailing Address - Phone:707-977-6262
Mailing Address - Fax:
Practice Address - Street 1:6730 4TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2678
Practice Address - Country:US
Practice Address - Phone:707-977-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor