Ketosugbo, Anukware

Ketosugbo, Anukware is an sole proprietor health care provider with primary practice located at 20 Plaza St E , Brooklyn NY 11238-4955. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ketosugbo, Anukware can be contacted via phone (718) 622-1301.

Contact Information

Primary practice address
20 Plaza St E Brooklyn NY 11238-4955
Fax: (718) 622-1367
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 147545 New York

Profile Details

NPI number 1003835000
LBN Legal business name Ketosugbo, Anukware
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Nov 19th, 2007 - about 18 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 1003835000 NPPES
New York MEDICAID 01036039

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