Organization
ASHANTI MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOFI ATTA-MENSAH M.D. (OWNER)
(860) 714-2992
Entity
Organization
Contact information
Practice address
675 TOWER AVE, SUITE 402, HARTFORD, CT 06112-1260
(860) 714-2992
(860) 714-8990
Mailing address
675 TOWER AVE, SUITE 402, HARTFORD, CT 06112-1260
(860) 714-2992
(860) 714-8990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26698
CT
207RG0100X
Gastroenterology Physician
Primary
26698
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001266980
—
CT
01
—
010026698CT04
BCBS
CT
01
—
026698
CONNECTICARE
CT
01
—
0577990
CIGNA HEALTHCARE
CT
01
—
100002036
RAILROAD MEDICARE
CT
01
—
29-00882
EVERCARE
CT
01
—
298481
WELLCARE SPECIALTY
CT
01
—
2V9515
HEALTHNET
CT
01
—
311575
WELLCARE
CT
01
—
566029
AETNA
CT
01
—
DN7801
RAILROAD MEDICARE PART B
CT
01
—
HAP358
OXFORD HEALTHCARE
CT
Enumeration date
03/28/2007
Last updated
12/09/2008
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