National Provider Identifier Database

CHARLES G OTU NYARKO, MD – NPI #1245487404
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

CHARLES G OTU NYARKO, MD
2508 BERT KOUNS LOOP
SUITE 101
SHREVEPORT, LA71118-3133
Phone: 318-212-5858
Fax: 318-212-5877
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for CHARLES G OTU NYARKO

NPI Number 1245487404
Credentials MD
Entity Individual
Enumeration date 08/19/2008
Last updated 05/14/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 125.052705
  • LA License #: MD.203819
  • LA Medicaid: 2107259
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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