Prince Adu Amoako, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Greensboro, NC

NPI 1003661117 · NPPES record last updated Apr 22, 2024

Key facts

NPI
1003661117
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1200 N Elm St
Greensboro, NC 27401-1020
Phone
(336) 832-7272
NPI assigned
Apr 22, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240723004237 NC Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
6002352341

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1200 N Elm St
Greensboro, NC 27401-1020

Mailing address

1200 N Elm St
Greensboro, NC 27401-1020
Phone (336) 832-7272

Other providers in Greensboro, NC

All providers in Greensboro, NC · Student in an Organized Health Care Education/Training Program in North Carolina

Sources for this page

Verify at the official NPI Registry.