Individual provider · NPI-1

Keith Peter Ameyaw, MD

Radiology, Vascular & Interventional Radiology · Southfield, MI

NPI number1427611748
StatusActive
Last updated in NPPESJul 3, 2024

Details

NPI
1427611748
Entity type
Individual (NPI-1)
Name
Keith Peter Ameyaw
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 22, 2019
Certification date
May 9, 2024
Last updated
Jul 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional Radiology316072-01NYYes
208600000X Surgery4351046727MI

Practice location

16001 W 9 Mile Rd Ofc
Southfield, MI 48075-4818

Phone 248-849-5664

Mailing address

550 1st Ave
New York, NY 10016-6402

Phone 646-929-7800

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