Individual
KEITH PETER AMEYAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16001 W 9 MILE RD OFC, SOUTHFIELD, MI 48075-4818
(248) 849-5664
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 929-7800
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
316072-01
NY
208600000X
Surgery Physician
4351046727
MI
Other
Enumeration date
04/22/2019
Last updated
07/03/2024
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