Provider Demographics
NPI:1972950178
Name:AKANO, ADEKEMI NGOZI JENIFFER (MD)
Entity Type:Individual
Prefix:DR
First Name:ADEKEMI
Middle Name:NGOZI JENIFFER
Last Name:AKANO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:51 N 39TH ST
Mailing Address - Street 2:MEDICAL ARTS BUILDING, SUITE 211
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-2640
Mailing Address - Country:US
Mailing Address - Phone:215-662-9664
Mailing Address - Fax:215-243-3223
Practice Address - Street 1:51 N 39TH ST
Practice Address - Street 2:MEDICAL ARTS BUILDING, SUITE 211
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2640
Practice Address - Country:US
Practice Address - Phone:215-662-9664
Practice Address - Fax:215-243-3223
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-17
Last Update Date:2020-09-14
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Provider Licenses
StateLicense IDTaxonomies
PAMD471015207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology