Physician Compare National (NPI:1902993660)

HEALTHCARE PROVIDER: KOFI D SEFA BOAKYE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902993660
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698872224
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070516000375
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SEFA-BOAKYE
	Individual professional last name
Provider First Name	KOFI
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	340 4TH AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 5
	Group Practice or individual's line 2 address
City	CHULA VISTA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	919103813
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6194222121
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y