Provider Demographics
NPI:1982580726
Name:ADOMAKO, STEFAN ROMUALD AWUAH (MD)
Entity type:Individual
Prefix:
First Name:STEFAN
Middle Name:ROMUALD AWUAH
Last Name:ADOMAKO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 UPPER RIVERDALE RD SW
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2616
Mailing Address - Country:US
Mailing Address - Phone:770-991-8574
Mailing Address - Fax:770-991-8574
Practice Address - Street 1:29 UPPER RIVERDALE RD SW
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2616
Practice Address - Country:US
Practice Address - Phone:770-991-8574
Practice Address - Fax:770-991-8574
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program