Provider Demographics
NPI:1992707913
Name:AKOTO, BARBARA YANKSON (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:YANKSON
Last Name:AKOTO
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 1:3300 PHILADELPHIA DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405
Mailing Address - Country:US
Mailing Address - Phone:937-274-1501
Mailing Address - Fax:937-274-1510
Practice Address - Street 1:3300 PHILADELPHIA DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405
Practice Address - Country:US
Practice Address - Phone:937-274-1501
Practice Address - Fax:937-274-1510
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2020-11-17
Deactivation Date:2006-03-23
Deactivation Code:
Reactivation Date:2006-04-14
Provider Licenses
StateLicense IDTaxonomies
OH35077153A207RA0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2159864Medicaid
OH000000106848OtherANTHEM BC/BS
OH4021001Medicare PIN
OH4021001Medicare ID - Type Unspecified
OHH10270Medicare UPIN
OH2159864Medicaid