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NPI Code Detail

MEDICARE: DR. KOFI ASANTE APPIAH M.D.

MEDICARE: DR. KOFI ASANTE APPIAH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician30186SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2AA2077 8516OTHERSCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
320066032OTHERSCSELECT HEALTH

General Provider Information

NPI Number : 1346200961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KOFI ASANTE APPIAH M.D.
Provider Business Mailing Address
First Line : 322 N PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1631
Country : US
Telephone Number : 864-582-5099
Fax Number : 864-327-1098
Provider Business Practice Location Address
First Line : 322 N PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1631
Country : US
Telephone Number : 864-582-5099
Fax Number : 864-327-1098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 11/15/2021

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