Basic Information
| Provider Information | |||||||||
| NPI: | 1093910432 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOAH | ||||||||
| FirstName: | AKUA | ||||||||
| MiddleName: | F. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 145 E 18TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112264362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182829690 | ||||||||
| FaxNumber: | 7182875915 | ||||||||
| Practice Location | |||||||||
| Address1: | 145 E 18TH ST | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112264362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182829690 | ||||||||
| FaxNumber: | 7182875915 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2007 | ||||||||
| LastUpdateDate: | 05/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 242939 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207R00000X | 242939 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.