Individual
KOH BOAYUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, 3RD FLOOR, ALBUQUERQUE, NM 87106-2745
(505) 272-4461
(505) 272-8699
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
O1060668A
IN
2080P0207X
Pediatric Hematology & Oncology Physician
MD2009-0038
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200526690
—
IN
05
—
2190258
—
OH
05
—
96307251
—
NM
Enumeration date
04/20/2006
Last updated
01/13/2025
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