Provider Demographics
NPI:1568473619
Name:APPIAH, AARON POKU (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:POKU
Last Name:APPIAH
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 1:2280 WEDNESDAY STREET
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-201-4733
Mailing Address - Fax:850-201-4939
Practice Address - Street 1:2280 WEDNESDAY STREET
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-201-4733
Practice Address - Fax:850-201-4939
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00529620207W00000X
FLME52960207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062065300Medicaid
B74697Medicare UPIN
FL062065300Medicaid