Provider Demographics
NPI:1023860053
Name:SARPONG, EDNA ASSOR (MD)
Entity type:Individual
Prefix:DR
First Name:EDNA
Middle Name:ASSOR
Last Name:SARPONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EDNA
Other - Middle Name:ASSOR
Other - Last Name:OFORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:WILLIS-KNIGHTON HEALTH SYSTEM
Mailing Address - Street 2:2600 GREENWOOD ROAD
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105
Mailing Address - Country:US
Mailing Address - Phone:318-207-5945
Mailing Address - Fax:
Practice Address - Street 1:WILLIS-KNIGHTON HEALTH SYSTEM
Practice Address - Street 2:2600 GREENWOOD ROAD
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105
Practice Address - Country:US
Practice Address - Phone:318-453-2456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program