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NPI Code Detail

MEDICARE: DR. KWAME GYASI M.D.

MEDICARE:  DR. KWAME  GYASI  M.D.
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
1208D00000XGeneral Practice PhysicianD0099979MD

General Provider Information

NPI Number : 1437470085
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KWAME GYASI M.D.
Provider Business Mailing Address
First Line : 506 LENOX AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10037-1802
Country : US
Telephone Number : 917-969-9287
Fax Number :
Provider Business Practice Location Address
First Line : 6201 ANNAPOLIS RD
Second Line :
City : LANDOVER HILLS
State : MD
Zip : 20784-1307
Country : US
Telephone Number : 301-276-3377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2010
Last Update Date : 04/23/2024

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