Individual
PRINCE NTIAMOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125071224
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
101854875
WI
207RP1001X
Pulmonary Disease Physician
Primary
84254
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100280501
—
WI
Enumeration date
07/03/2017
Last updated
11/04/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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