IndividualActive
Charles Otu-Nyarko, M.D
NPI 1245487404 · Pediatric Gastroenterology Physician · Shreveport, LA
Provider details
- NPI number
- 1245487404
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 125.052705 (IL)
Practice location
2508 Bert Kouns Loop
Suite 101
Shreveport, LA 71118-3133
Phone: (318) 212-5858
Fax: (318) 212-5877
Mailing address
2508 Bert Kouns Loop
Shreveport, LA 71118-3133
Registry dates
- Enumerated
- 2008-08-19
- Last updated
- 2021-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.