MEDICARE: FRANK SARFO BOAKYE D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	772764	TX

General Provider Information

NPI Number	:	1760047765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK SARFO BOAKYE D.O

Provider Business Mailing Address
First Line	:	2341 WALTHAM DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-3547
Country	:	US
Telephone Number	:	609-456-8658
Fax Number	:

Provider Business Practice Location Address
First Line	:	215 KINGWOOD EXECUTIVE DR STE 250
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2765
Country	:	US
Telephone Number	:	813-580-1712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	10/01/2024

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