Provider Demographics
NPI:1437201472
Name:MENSAH, DOREEN AKOSUA (MD)
Entity type:Individual
Prefix:
First Name:DOREEN
Middle Name:AKOSUA
Last Name:MENSAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 746087
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6087
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:
Practice Address - Street 1:318 KNICKERBOCKER AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-3888
Practice Address - Country:US
Practice Address - Phone:718-765-6056
Practice Address - Fax:347-803-1874
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219161207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02109644Medicaid
NY201100957OtherMULTIPLAN
NY201100957OtherHORIZON
NYP2706080OtherOXFORD
NY201100957OtherPHCS
NY3C5378OtherPPO HMO
NY2591439OtherGHI PPO
NY5850736OtherAETNA USHC PPO
NY7086441014OtherCIGNA HMO
NY219ABOtherEMPIRE BLUE CROSS PPO EPO
NY219161-B26OtherHEALTHFIRST
NY13-4106083Other1199
NY2120367OtherUNITED HEALTHCARE CHOICE
NY219161OtherHIP
NY279668AOtherMAGNACARE PPO
NY7086441014OtherCIGNA HMO
NY201100957OtherPHCS