Provider Demographics
NPI:1760839120
Name:ADAMU, NANA-AISHATU U (MD)
Entity Type:Individual
Prefix:DR
First Name:NANA-AISHATU
Middle Name:U
Last Name:ADAMU
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 1:1401 S STATE ST STE C
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71601-5827
Mailing Address - Country:US
Mailing Address - Phone:870-534-5523
Mailing Address - Fax:870-534-2186
Practice Address - Street 1:1401 S STATE ST STE C
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-5827
Practice Address - Country:US
Practice Address - Phone:870-534-5523
Practice Address - Fax:870-534-2186
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-12335207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine