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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 Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHARLES G OTU NYARKO · (Male)

NPI # 1245487404
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2008
Last updated 05/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125.052705
  • LA License # MD.203819
  • LA Medicaid 2107259
Hospital affiliation(s) Not Available
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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