Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 036139737 | IL |
Y | 204F00000X | Transplant Surgeon | 320612 | LA |
N | 208200000X | Surgeon | 320612 | LA |
N | 208600000X | Surgeon | 320612 | LA |
N | 208200000X | Surgeon | MT195694 | PA |
N | 208600000X | Surgeon | MT195694 | PA |
NPI | 1467688812 |
---|---|
Provider Name | Kofi Atiemo |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2009 |
Last Update Date | 01/10/2019 |