Provider Demographics
NPI:1386385383
Name:OFORI, JOEL KWABENA (MD)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:KWABENA
Last Name:OFORI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-10
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:321-948-0649
Mailing Address - Fax:888-463-6898
Practice Address - Street 1:WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-10
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:321-948-0649
Practice Address - Fax:888-463-6898
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA14402208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics