Provider Demographics
NPI:1477080836
Name:SAMPONG, CLAUDIA NKEIH (DO)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:NKEIH
Last Name:SAMPONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:MBOMBOUH NGONU
Other - Last Name:NKEIH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:15190 COMMUNITY RD
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-3485
Practice Address - Country:US
Practice Address - Phone:228-539-7044
Practice Address - Fax:228-539-4420
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MS30118207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program