Provider Demographics
NPI:1285679845
Name:GYARTENG-DAKWA, KWADWO (MD)
Entity Type:Individual
Prefix:DR
First Name:KWADWO
Middle Name:
Last Name:GYARTENG-DAKWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2609 N DUKE ST
Mailing Address - Street 2:SUITE 303B
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-3048
Mailing Address - Country:US
Mailing Address - Phone:919-220-0107
Mailing Address - Fax:919-220-7623
Practice Address - Street 1:2609 N DUKE ST
Practice Address - Street 2:SUITE 303B
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704
Practice Address - Country:US
Practice Address - Phone:919-220-0107
Practice Address - Fax:919-220-7623
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200500050207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2200500050OtherNORTH CAROLINA MEDICAL BOARD LICENSE