Amankonah, Thomas D.

Amankonah, Thomas D. is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Amankonah, Thomas D. can be contacted via phone (601) 984-4540.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax: (601) 984-4548
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 24335 Mississippi

Profile Details

NPI number 1780762534
LBN Legal business name Amankonah, Thomas D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 3rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780762534 NPPES
California MEDICAID 00A668380
California MEDICAID 09520723

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