Provider Demographics
NPI:1780314575
Name:GYIMAH, KWAKU ABANQUAH
Entity type:Individual
Prefix:
First Name:KWAKU
Middle Name:ABANQUAH
Last Name:GYIMAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1668 PIERPONT DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-5802
Mailing Address - Country:US
Mailing Address - Phone:614-641-8111
Mailing Address - Fax:
Practice Address - Street 1:1668 PIERPONT DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-5802
Practice Address - Country:US
Practice Address - Phone:614-641-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator