Immanuel Amissah, MD
Family Medicine in New Port Richey, FL. Individual provider (NPI-1).
NPI number1114066115
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1114066115
- Entity type
- Individual (NPI-1)
- Name
- Immanuel Amissah
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2007
- Certification date
- May 15, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME151733 | FL | Yes |
| 207Q00000X | Family Medicine | 17098 | NV | |
| 207Q00000X | Family Medicine | 2006-0432 | NM | |
| 208M00000X | Hospitalist | 27280 | WV |
Practice location
9852-54 Little RoadNew Port Richey, FL 34654
Phone 727-425-6902 · Fax 727-425-6759
Mailing address
102 Woodmont Blvd Ste 600Nashville, TN 37205-5250
Phone 888-987-1151
Other practice locations
540 N Nellis Blvd
Las Vegas, NV 89110-5368
Las Vegas, NV 89110-5368
Phone 702-877-5199
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