Boayue, Koh
Boayue, Koh is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne 3Rd Floor, Albuquerque NM 87106-2745. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Boayue, Koh can be contacted via phone (505) 272-4461.Contact Information
Primary practice address
2211 Lomas Blvd Ne 3Rd Floor
Albuquerque NM 87106-2745
Phone: (505) 272-4461
Fax: (505) 272-8699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | O1060668A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD2009-0038 | New Mexico |
Profile Details
| NPI number | 1639134620 |
|---|---|
| LBN Legal business name | Boayue, Koh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 10th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639134620 | NPPES |
| New Mexico | MEDICAID | 96307251 | |
| New Mexico | MEDICAID | 200526690 | |
| New Mexico | MEDICAID | 2190258 |
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