Provider Demographics
NPI:1770788820
Name:BROWN, GRETA MAAME NYARKOA (MD)
Entity type:Individual
Prefix:DR
First Name:GRETA
Middle Name:MAAME NYARKOA
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14416 W MEEKER BLVD # 200
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5284
Mailing Address - Country:US
Mailing Address - Phone:623-583-5260
Mailing Address - Fax:
Practice Address - Street 1:14416 W MEEKER BLVD # 200
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5284
Practice Address - Country:US
Practice Address - Phone:623-583-5260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36978207RI0200X, 207R00000X
LAMD.201083207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ223229Medicaid
AZCG7880OtherMEDICARE RAILROAD
AZ223229Medicaid
AZ033987Medicare Oscar/Certification
AZ033994Medicare Oscar/Certification
AZZP03006701Medicare PIN