Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD035224 | DC |
NPI | 1023103587 |
---|---|
Provider Name | Nana Yaw Asamoah-Mensah |
First Address | Reston, VA 20191-5828 |
Second Address | Washington, DC 20017-2153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 23/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036318200 | (05) | DC |