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Individual
KWABENA AYESU
Active
Individual
KWABENA AYESU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME87178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268001700
—
FL
01
—
4557320
CIGNA
FL
01
—
562500290
TAX ID #
FL
01
—
81108B
BCBS
FL
01
—
ME87178
MEDICAL LICENSE
FL
01
—
P00269607
RAILROAD MEDICARE
FL
Enumeration date
11/08/2005
Last updated
11/10/2016
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