Provider Demographics
NPI:1861788382
Name:DAKWA, KWASI K (MD)
Entity type:Individual
Prefix:DR
First Name:KWASI
Middle Name:K
Last Name:DAKWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:226 MILL HILL AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-2826
Mailing Address - Country:US
Mailing Address - Phone:203-384-3882
Mailing Address - Fax:203-384-3135
Practice Address - Street 1:267 GRANT ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2805
Practice Address - Country:US
Practice Address - Phone:203-384-3882
Practice Address - Fax:203-384-3135
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2022-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT054196207R00000X
WI69085207RI0011X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine