Provider Demographics
NPI:1346200961
Name:APPIAH, KOFI ASANTE (MD)
Entity Type:Individual
Prefix:DR
First Name:KOFI
Middle Name:ASANTE
Last Name:APPIAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KOFI
Other - Middle Name:A
Other - Last Name:APPIAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:322 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1631
Mailing Address - Country:US
Mailing Address - Phone:864-582-5099
Mailing Address - Fax:864-327-1098
Practice Address - Street 1:322 N PINE ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1631
Practice Address - Country:US
Practice Address - Phone:864-582-5099
Practice Address - Fax:864-327-1098
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30186207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC301863Medicaid
SCAA2077 8516OtherMEDICARE
SC20066032OtherSELECT HEALTH
SC20066032OtherSELECT HEALTH