Provider Demographics
NPI:1356788178
Name:AMELEMAH, CHARLES AMOAFO (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:AMOAFO
Last Name:AMELEMAH
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:837 CYPRESS CREEK PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3422
Mailing Address - Country:US
Mailing Address - Phone:281-453-7158
Mailing Address - Fax:281-453-2207
Practice Address - Street 1:837 CYPRESS CREEK PKWY STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3422
Practice Address - Country:US
Practice Address - Phone:281-453-7158
Practice Address - Fax:281-453-2207
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS1971207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine