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Individual
NANA N KORSAH
Active
Individual
NANA N KORSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57008787
OH
207RN0300X
Nephrology Physician
01069045A
IN
208M00000X
Hospitalist Physician
Primary
01069045A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000940579
ANTHEM PROVIDER NUMBER
IN
01
—
000000991160
ANTHEM PIN
IN
05
—
201002940
—
IN
Enumeration date
06/05/2007
Last updated
03/17/2018
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