Provider Demographics
NPI:1689427023
Name:ADEI, ABENA OHENEWAH (MD)
Entity Type:Individual
Prefix:
First Name:ABENA
Middle Name:OHENEWAH
Last Name:ADEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 GRANT STREET, MED ED PODIUM 4
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-0120
Mailing Address - Country:US
Mailing Address - Phone:203-384-4442
Mailing Address - Fax:
Practice Address - Street 1:267 GRANT STREET, MED ED PODIUM 4
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-0120
Practice Address - Country:US
Practice Address - Phone:203-384-4442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program