Individual
FELIX AUGUSTINE MENSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8111 S EMERSON AVE # 105, INDIANAPOLIS, IN 46237-8601
(317) 528-5500
Mailing address
PO BOX 781090, DETROIT, MI 48278-1090
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
01085664A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508036559
—
MO
05
—
188315001
—
AR
01
—
431560263
TRICARE
MO
01
—
P01030878
RR MCR
MO
Enumeration date
03/05/2008
Last updated
03/05/2024
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