Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD441439 | PA |
NPI | 1043479082 |
---|---|
Provider Name | Dr. Efua Asamoah-Odei |
First Address | Philadelphia, PA 19107-1503 |
Second Address | Phila, PA 19107-1503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 14/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102634550-0001 | (05) | PA |