Provider Demographics
NPI:1801699491
Name:OFORI, KWASI JEHU (MD)
Entity type:Individual
Prefix:
First Name:KWASI
Middle Name:JEHU
Last Name:OFORI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:KWASI
Other - Middle Name:
Other - Last Name:OFORI-ANTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 KEPHART WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-4962
Mailing Address - Country:US
Mailing Address - Phone:919-636-1679
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1889
Practice Address - Country:US
Practice Address - Phone:212-939-1406
Practice Address - Fax:212-939-1462
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program