Individual
KOFI W NUAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD31272
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0910401
ADMINISTAR
KY
01
—
148083
BETTER HEALTH PLANS
TN
01
—
28633
TLC
TN
05
—
3723214
—
TN
01
—
4073439
BC/BS
TN
01
—
64721699
KENTUCKY MEDICAID
KY
Enumeration date
10/04/2005
Last updated
06/16/2018
Update your record
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