Provider Demographics
NPI:1972611655
Name:DANSO, ALEX KINGSLEY (MD)
Entity Type:Individual
Prefix:MR
First Name:ALEX
Middle Name:KINGSLEY
Last Name:DANSO
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 1:44215 15TH ST W
Mailing Address - Street 2:#305
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4014
Mailing Address - Country:US
Mailing Address - Phone:661-949-5404
Mailing Address - Fax:661-949-5820
Practice Address - Street 1:44215 15TH ST W
Practice Address - Street 2:#305
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4014
Practice Address - Country:US
Practice Address - Phone:661-949-5404
Practice Address - Fax:661-949-5820
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG051761207V00000X
MDD0047027207V00000X
NY1545281207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G517612Medicaid
CA00G517612Medicaid
G51761AMedicare ID - Type Unspecified