MEDICARE: AKUA FORDJOUR MD, PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	R2099	TX
2	208M00000X	Hospitalist Physician	23202	ND
3	208M00000X	Hospitalist Physician	MD-56069	IA
4	208M00000X	Hospitalist Physician	CP1833	NE
5	208M00000X	Hospitalist Physician	76028	TN

General Provider Information

NPI Number	:	1285040626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKUA FORDJOUR MD, PHD

Provider Business Mailing Address
First Line	:	3600 GASTON AVE STE 550
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1905
Country	:	US
Telephone Number	:	214-820-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 GASTON AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1800
Country	:	US
Telephone Number	:	214-820-3000
Fax Number	:	214-821-1193

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	12/09/2025

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