Provider Demographics
NPI:1699527754
Name:ADU-POKU, NANA AKWASI
Entity type:Individual
Prefix:
First Name:NANA
Middle Name:AKWASI
Last Name:ADU-POKU
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 1:8415 BENT MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-9090
Mailing Address - Country:US
Mailing Address - Phone:571-426-4822
Mailing Address - Fax:
Practice Address - Street 1:8415 BENT MAPLE CT
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-9090
Practice Address - Country:US
Practice Address - Phone:571-426-4822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDPLUS3347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle