Provider Demographics
NPI:1245947746
Name:OSEI-OBENG, RITA (NP)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:OSEI-OBENG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 W ARROWOOD RD STE 110
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-6198
Mailing Address - Country:US
Mailing Address - Phone:704-588-9997
Mailing Address - Fax:
Practice Address - Street 1:2540 W ARROWOOD RD STE 110
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-6198
Practice Address - Country:US
Practice Address - Phone:704-588-9997
Practice Address - Fax:704-588-9499
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017176207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine