Healthcare Provider Details

I. General information

NPI: 1760773188
Provider Name (Legal Business Name): ABENA AKUFO OPOKU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 01/04/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 VAN NESS AVE STE 2008
SAN FRANCISCO CA
94102-6310
US

IV. Provider business mailing address

601 VAN NESS AVE STE 2008
SAN FRANCISCO CA
94102-6310
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-9600
  • Fax: 415-833-9650
Mailing address:
  • Phone: 415-833-9600
  • Fax: 415-833-9650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberA144605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: