Enoch Agyemang
Individual provider Active NPI Emergency Medical Services (Emergency Medicine) Physician · Stafford, VA
NPI 1548890304 · NPPES record last updated Jan 21, 2020
Key facts
- NPI
- 1548890304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- License
- A673299991 (VA)
- Practice address
- 146 Short Branch Rd
Stafford, VA 22556-4642 - Phone
- (678) 651-9336
- NPI assigned
- Jan 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A673299991 | VA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | A673299991 | VA | Yes |
Addresses
Primary practice location
146 Short Branch Rd
Stafford, VA 22556-4642
Mailing address
146 Short Branch Rd
Stafford, VA 22556-4642
Phone (678) 651-9336
Other providers in Stafford, VA
- Agbest Home Health Care
- Susanna P Agble
- Agi Surgical Services LLC
- Alissa Joy Agnew
- Joshua Agu
- Adeola Bose Ajayi
- Heather Mance Akgun
- Anita Akhtar
- Nketiah-Sakyi Akomeah
- Miral U Al Pakistani
All providers in Stafford, VA · Emergency Medical Services (Emergency Medicine) Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.