Individual
DR. YAW ABABIO BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-6709
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
9087894-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344568
—
SC
05
—
5921024
—
NC
Enumeration date
06/01/2005
Last updated
12/03/2021
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