Healthcare Provider Details
I. General information
NPI: 1295953644
Provider Name (Legal Business Name): NAA ADORKOR ALLOTEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/23/2007
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 PERKINS SQ
AKRON OH
44308-1063
US
IV. Provider business mailing address
161 WINCHESTER RD #207
FAIRLAWN OH
44333-3523
US
V. Phone/Fax
- Phone: 330-543-1000
- Fax:
- Phone: 330-622-5570
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 57.010422 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 35.091833 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: