Healthcare Provider Details

I. General information

NPI: 1730574302
Provider Name (Legal Business Name): NII-KWANCHIE ANKRAH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 BUTTE ST
REDDING CA
96001-0828
US

IV. Provider business mailing address

PO BOX 10297
BAKERSFIELD CA
93389-0297
US

V. Phone/Fax

Practice location:
  • Phone: 530-245-5900
  • Fax: 530-245-5909
Mailing address:
  • Phone: 530-245-5900
  • Fax: 760-242-8577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA152427
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA152427
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: