NPI Code Detail JSON Logo

1265165237 NPI number — NANA YAA AGYEIWAA ANOKWAA AMPAW MBCHB

NPI Number: 1265165237
Health Care Provider/Practitioner: NANA YAA AGYEIWAA ANOKWAA AMPAW MBCHB

Information about “1265165237” NPI (NANA YAA AGYEIWAA ANOKWAA AMPAW MBCHB) exists in 1265165237 in HTML format HTML  |  1265165237 in plain Text format TXT  |  1265165237 in PDF (Portable Document Format) PDF  |  1265165237 in an XML format XML  formats.

NPI Number : 1265165237 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265165237",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMPAW",
    "FirstName": "NANA YAA",
    "MiddleName": "AGYEIWAA ANOKWAA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MBCHB",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1922 W OGDEN AVE UNIT 1616",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60612-5586",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-613-9094",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3401 N BROAD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHILADELPHIA",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19140-5189",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "800-836-7536",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/06/2022",
    "LastUpdateDate": "05/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": "125079798",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RP1001X",
          "TaxonomyName": "Pulmonary Disease Physician",
          "LicenseNumber": "MT233240",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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