Healthcare Provider Details

I. General information

NPI: 1235102716
Provider Name (Legal Business Name): HENRY KWABENA OSEI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 E FLORENTINE RD STE 101
PRESCOTT VALLEY AZ
86314-2245
US

IV. Provider business mailing address

PO BOX 750432
LAS VEGAS NV
89136-0432
US

V. Phone/Fax

Practice location:
  • Phone: 928-442-8710
  • Fax: 928-442-8742
Mailing address:
  • Phone: 702-202-2233
  • Fax: 702-685-6738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number72852
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number10167
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: