Provider Demographics
NPI:1245236843
Name:AMPADU, FRANKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:
Last Name:AMPADU
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 1:2055 LIMESTONE RD
Mailing Address - Street 2:STE 111
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808
Mailing Address - Country:US
Mailing Address - Phone:302-999-8169
Mailing Address - Fax:302-999-8190
Practice Address - Street 1:2055 LIMESTONE RD
Practice Address - Street 2:STE 111
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808
Practice Address - Country:US
Practice Address - Phone:302-999-8169
Practice Address - Fax:302-999-8190
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2011-10-21
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-31
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006437207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE003896I23Medicare PIN