Provider Demographics
NPI:1801688700
Name:EKONG, MFONIDO ENO (MD)
Entity type:Individual
Prefix:MR
First Name:MFONIDO
Middle Name:ENO
Last Name:EKONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 ROGERS AVENUE, MERCY HOSPITAL C FORT SMITH
Mailing Address - Street 2:GME DEPARTMENT
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903
Mailing Address - Country:US
Mailing Address - Phone:479-314-1153
Mailing Address - Fax:
Practice Address - Street 1:7301 ROGERS AVENUE, MERCY HOSPITAL C FORT SMITH
Practice Address - Street 2:GME DEPARTMENT
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903
Practice Address - Country:US
Practice Address - Phone:479-314-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program