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Individual

DR. EVELYN ABENA OPPONGWAA ABOAGYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
375 FOUR LEAF LN, CHARLOTTESVILLE, VA 22903-6905
(434) 243-0700
(434) 243-0680
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101275037
VA
208000000X
Pediatrics Physician
2010028332
MO
208000000X
Pediatrics Physician
57013380
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
431560263
TRICARE WEST
01
P00859512
RAILROAD MEDICARE
Enumeration date
05/09/2008
Last updated
01/30/2023
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