Edward Kwodwo Boakye, MD

Individual provider Active NPI Internal Medicine Physician · Chester, VA

NPI 1477544914 · NPPES record last updated May 23, 2020

Key facts

NPI
1477544914
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
0101057406 (VA)
Practice address
12407 Inverness Way
Chester, VA 23836-8629
Phone
(703) 768-9660
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hankook Rehab & Physical Therapy Clinic, Inc. Past Accepting new patients
International Medical Center, Inc Past Accepting new patients
Hankook Medical Center Inc Internal Medicine Past Accepting new patients
Petersburg Home Care Services LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101057406 VA Yes

Addresses

Primary practice location

12407 Inverness Way
Chester, VA 23836-8629

Mailing address

PO Box 2078
Prince George, VA 23875-1998

Other providers in Chester, VA

All providers in Chester, VA · Internal Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.