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Physician Compare National (NPI:1619065984)

HEALTHCARE PROVIDER: G TETTEH MENSAH MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1619065984
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7517990617
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120906000487
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MENSAH
Individual professional last name
Provider First Name GEORGE TETTEH
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4357 FERGUSON DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 210
Group Practice or individual's line 2 address
City CINCINNATI
Group Practice or individual's city
State OH
Group Practice or individual's state
Zip Code 452451688
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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