Healthcare Provider Details

I. General information

NPI: 1770607376
Provider Name (Legal Business Name): NANA YAW ASANTE DARKWA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W CLARKE AVE
MILFORD DE
19963-1840
US

IV. Provider business mailing address

305 PLANTATION DR
SEAFORD DE
19973-5778
US

V. Phone/Fax

Practice location:
  • Phone: 302-430-5175
  • Fax: 302-430-5060
Mailing address:
  • Phone: 302-230-6107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberC10008418
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: