Individual provider · NPI-1

Dr. Charles W Ampadu, MD

Internal Medicine · Swansea, IL

NPI number1962545269
StatusActive
Last updated in NPPESSep 6, 2021

Details

NPI
1962545269
Entity type
Individual (NPI-1)
Name
Dr. Charles W Ampadu
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 15, 2007
Certification date
Sep 6, 2021
Last updated
Sep 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036083270ILYes

Practice location

15 Park Pl
Swansea, IL 62226-2918

Phone 618-257-0780 · Fax 618-257-0715

Mailing address

15 Park Pl
Swansea, IL 62226-2918

Phone 618-257-0780 · Fax 618-257-0715

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Swansea, IL