Provider Demographics
NPI:1053847715
Name:NYAMESEM, EMMANUEL FOSU (RHIT)
Entity Type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:FOSU
Last Name:NYAMESEM
Suffix:
Gender:M
Credentials:RHIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 MERRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2021
Mailing Address - Country:US
Mailing Address - Phone:571-398-9160
Mailing Address - Fax:571-526-5527
Practice Address - Street 1:2575 MERRYWOOD CT
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2021
Practice Address - Country:US
Practice Address - Phone:571-398-9160
Practice Address - Fax:571-526-5527
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver