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NPI Code Detail

MEDICARE: DR. ESI WUSIWA NKYEKYER MD, MPH

MEDICARE: DR. ESI WUSIWA NKYEKYER MD, MPH
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
12083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianMD60337824WA
2207R00000XInternal Medicine PhysicianMD60337824WA

Other Identifiers

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

General Provider Information

NPI Number : 1548585680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ESI WUSIWA NKYEKYER MD, MPH
Provider Business Mailing Address
First Line : 287 LORTON AVE
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-4203
Country : US
Telephone Number : 800-505-5972
Fax Number :
Provider Business Practice Location Address
First Line : 287 LORTON AVE
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-4203
Country : US
Telephone Number : 800-505-5972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 07/30/2024

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