Provider Demographics
NPI:1215264114
Name:OPONG, AMONU (MD)
Entity type:Individual
Prefix:
First Name:AMONU
Middle Name:
Last Name:OPONG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1307 FEERAL STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4769
Mailing Address - Country:US
Mailing Address - Phone:412-281-1757
Mailing Address - Fax:724-884-0855
Practice Address - Street 1:1307 FEDERAL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4769
Practice Address - Country:US
Practice Address - Phone:412-281-1757
Practice Address - Fax:724-884-0855
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2014-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 438220208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology