Individual
DR. NANA YAA AGYEIWAA ANOKWAA AMPAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBCHB
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(800) 836-7536
Mailing address
1922 W OGDEN AVE UNIT 1616, CHICAGO, IL 60612-5586
(443) 613-9094
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MT233240
PA
390200000X
Student in an Organized Health Care Education/Training Program
125079798
IL
Other
Enumeration date
07/06/2022
Last updated
05/16/2025
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