NPI 1073998092 · live from the CMS NPI Registry
Kwabena Asafo-Agyei, MD
Family Medicine in Shreveport, LA. National Provider Identifier 1073998092, active.
NPI record
| NPI | 1073998092 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105 |
| Practice phone | 318-681-4500 |
| Mailing address | 120 Brentwood Commons Way Ste 510, Brentwood, TN 37027 |
| Enumerated | July 21, 2015 |
| Last updated | December 6, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 310904 (LA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | 310904 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.