Individual
DR. EMMANUEL KWADWO SARPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01070786A
IN
207R00000X
Internal Medicine Physician
34255
IA
208M00000X
Hospitalist Physician
01070786A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2244020
—
IA
Enumeration date
05/20/2006
Last updated
10/18/2023
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