Healthcare Provider Details

I. General information

NPI: 1841532140
Provider Name (Legal Business Name): EDEM KOFI BINKA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2013
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3841 PIPER ST STE T345
ANCHORAGE AK
99508-4694
US

IV. Provider business mailing address

3841 PIPER ST STE T345
ANCHORAGE AK
99508-4694
US

V. Phone/Fax

Practice location:
  • Phone: 907-339-1945
  • Fax: 907-339-1994
Mailing address:
  • Phone: 907-339-1945
  • Fax: 907-339-1994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number238347
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: