Individual
ANITA AMMA AKOMAA BOAKYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
699 RILEY HOSPITAL DR # 230, INDIANAPOLIS, IN 46202-5119
(317) 274-2563
Mailing address
699 RILEY HOSPITAL DR # 230, INDIANAPOLIS, IN 46202-5119
(317) 274-2563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.016667
OH
208000000X
Pediatrics Physician
34.016667
OH
2080P0210X
Pediatric Nephrology Physician
Primary
02007894A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
08/05/2024
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