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Koh Boayue, MD
Pediatric Hematology & Oncology Physician in Albuquerque, New Mexico
NPI 1639134620

Koh Boayue is a Pediatric Hematology & Oncology Physician based in Albuquerque, NM and is specialized in Pediatric Hematology-Oncology. Koh Boayue practices in Albuquerque, NM and has the professional credentials of MD. The NPI Number for Koh Boayue is 1639134620 and holds a License No. O1060668A (New Mexico).

The current practice location address for Koh Boayue is 2211 Lomas Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-272-4461 and via fax at 505-272-8699. You can also correspond with Koh Boayue through the mailing address at 933 BRADBURY DR SE, ALBUQUERQUE, NM - 87106-4374 (mailing address contact number: 505-272-3120).

Location: 2211 Lomas Blvd Ne, Albuquerque, NM, 87106-4374
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Provider Profile Details
NPI Number
1639134620
Provider Name
Koh Boayue
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2211 Lomas Blvd Ne, Albuquerque, NM, 87106-4374
Phone Number
505-272-4461
Fax Number
505-272-8699
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
96307251 05 NM
200526690 05 IN
2190258 05 OH
institution
Provider Business Practice Location Address Details
Address
2211 Lomas Blvd Ne
City
State
Zip
87106-2745
Phone Number
505-272-4461
Fax Number
505-272-8699
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Provider Business Mailing Address Details
Address
933 Bradbury Dr Se
City
State
Zip
87106-4374
Phone Number
505-272-3120
Fax Number
505-272-8060
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Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
MD2009-0038 (New Mexico)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
License No.
O1060668A (Indiana)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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