Individual
HANS MAWULI KWAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5815 BLAKENEY PARK DR STE 200B, CHARLOTTE, NC 28277-5734
(704) 316-5080
(704) 316-5085
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200300167
NC
207QA0000X
Adolescent Medicine (Family Medicine) Physician
200300167
NC
207QA0505X
Adult Medicine Physician
200300167
NC
207R00000X
Internal Medicine Physician
Primary
200300167
NC
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
200300167
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135CY
—
NC
Enumeration date
04/26/2006
Last updated
08/21/2024
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