Kwabena Adubofour, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A52394 Issued in AR

Legal business name

KWABENA ADUBOFOUR, MD INC

Practice address

2524 E Main St
Stockton, CA 95205-6523

Phone

(800) 249-9497

Fax

(209) 845-1364

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kwabena Adubofour, MD

Title

Owner

Phone

(800) 249-9497

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386860765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953610188",
            "telephone_number": "800-249-9497",
            "fax_number": "209-845-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E MAIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952056523",
            "telephone_number": "800-249-9497",
            "fax_number": "209-845-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWABENA ADUBOFOUR, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADUBOFOUR",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-249-9497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "A52394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A523940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hirofumi Kuroda, PSY.D.
• Kurt R Skinner & Linda W T Hsu OD
• Angela Kutenets
• Chester Frank Kutzleb V
• Sirena Ann Kuykendall
• Candice Noel Kwan, PT, DPT
• Eugene Matthew Kwong
• Spencer Joseph Kwong, MD
• Dean Kuy Eang Ky, DDS
• Kuy E. Ky, D.D.S.

• Internal Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.