Individual
VICTOR OWUSU-YAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101051774
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006018947
—
VA
01
—
080464
ANTHEM BLUE CROSS BLUE SH
VA
05
—
46215
—
VA
01
—
70219
SOUTHERN HEALTH
—
05
—
890607A
—
NC
Enumeration date
01/30/2007
Last updated
10/02/2022
Update your record
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