Provider Demographics
NPI:1174371785
Name:OWUSU, NANA AMA OWUSUA (MD)
Entity type:Individual
Prefix:MISS
First Name:NANA AMA
Middle Name:OWUSUA
Last Name:OWUSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SUNY DOWNSTATE MEDICAL CENTRE, 450 CLARKSON AVENUE, BOX
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-270-2078
Mailing Address - Fax:718-613-8677
Practice Address - Street 1:SUNY DOWNSTATE MEDICAL CENTRE, 450 CLARKSON AVENUE, BOX
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-270-2078
Practice Address - Fax:718-613-8677
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program