Individual
DR. CHARLES GODFRIED OTU-NYARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2508 BERT KOUNS LOOP, SUITE 101, SHREVEPORT, LA 71118-3133
(318) 212-5858
(318) 212-5877
Mailing address
2508 BERT KOUNS LOOP, SUITE 101, SHREVEPORT, LA 71118-3133
(318) 212-5858
(318) 212-5877
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.052705
IL
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD.203819
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107259
—
LA
Enumeration date
08/19/2008
Last updated
05/14/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us