Anukware Ketosugbo, MD, PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

147545 Issued in NY

Legal business name

ANUKWARE KETOSUGBO, MD, PC

Practice address

20 Plaza Steet East
Brooklyn, NY 11238

Phone

(718) 622-1301

Fax

(718) 622-1367

NPI assigned

Dec 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anukware K Ketosugbo, MDNPI 1003835000

Title

Owner

Phone

(718) 622-1301

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anukware Ketosugbo, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1003835000
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1457629941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5619",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875619",
            "telephone_number": "718-622-1301",
            "fax_number": "718-622-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLAZA STEET EAST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-622-1301",
            "fax_number": "718-622-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUKWARE KETOSUGBO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "KETOSUGBO",
        "authorized_official_first_name": "ANUKWARE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-622-1301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "147545",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "147545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minimol Antony
• Marta Mariya Antonyuk, PHARMD
• Agnieszka Antoszczak, BSN, RN, CCHP-RN
• George Fouad Antoun, PT, DPT
• Elizabeth Twitchell Antrim
• Katja Maria Anuth, DO
• Anviri LLC
• Adeel Anwar
• Arshad Anwar, MD
• Mohammad K Anwar, PHARMACIST

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.