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NPI Code Detail

MEDICARE: DR. MARK KOFI KYEI M.D.

MEDICARE: DR. MARK KOFI KYEI 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
1207R00000XInternal Medicine Physician35086739OH
2207RH0003XHematology & Oncology Physician35086739OH

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 : 1982799185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK KOFI KYEI M.D.
Provider Business Mailing Address
First Line : 5001 ROCKSIDE RD FL 6
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-2172
Country : US
Telephone Number : 216-524-7979
Fax Number : 216-524-8343
Provider Business Practice Location Address
First Line : 5001 ROCKSIDE RD FL 6
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-2172
Country : US
Telephone Number : 216-524-7979
Fax Number : 216-524-8343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 01/30/2023

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