Provider Demographics
NPI:1992010565
Name:ANDOH-DUKU, AUGUSTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:AUGUSTINE
Middle Name:
Last Name:ANDOH-DUKU
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 1:33 GERMANTOWN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5039
Mailing Address - Country:US
Mailing Address - Phone:203-739-8330
Mailing Address - Fax:203-739-8931
Practice Address - Street 1:33 GERMANTOWN RD STE 2
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:203-739-8330
Practice Address - Fax:203-739-8931
Is Sole Proprietor?:No
Enumeration Date:2010-08-08
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA075727207RP1001X
NY290678207RP1001X
390200000X
CT61950207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine