Provider Demographics
NPI:1003937509
Name:OPARE, NANA KWAKU (MD)
Entity Type:Individual
Prefix:
First Name:NANA
Middle Name:KWAKU
Last Name:OPARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:GLENN
Other - Last Name:STEPTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1045 RESEARCH CENTER ATLANTA DR SW
Mailing Address - Street 2:SUITE A
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2034
Mailing Address - Country:US
Mailing Address - Phone:404-696-1773
Mailing Address - Fax:404-696-1775
Practice Address - Street 1:1045 RESEARCH CENTER ATLANTA DR SW
Practice Address - Street 2:SUITE A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2034
Practice Address - Country:US
Practice Address - Phone:404-696-1773
Practice Address - Fax:404-696-1775
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0581132083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA058113OtherGEORGIA MEDICAL LICENSE
GA058113OtherGEORGIA MEDICAL LICENSE
AS3173200OtherFEDERAL DEA