Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KOFI ODURO-BOADU, M.D.
ActiveDR. KOFI ODURO-BOADU, M.D. is a Family Medicine healthcare provider located in JACKSON, Mississippi. NPI 1407430457 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JACKSON, MS
Registration Details
- NPI Number
- 1407430457
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2021 (5.3205672294705 yrs)
- Last Updated
- May 31, 2022
- License
-
T-4311 (MS)
Practice Information
- Address
-
2500 NORTH STATE STREETJACKSON, MS, 392164500Browse MS providers · Browse ZIP 39216
- Phone
- 6019845426
- Fax
- 6019846889
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| JOSEPH SAMUEL HUNTER | MD | 1467459149 |
| DR. JANET L. RICKS | D.O. | 1841284478 |
| STEPHEN PAUL EPPERSON | MD | 1013902725 |
| DR. SAMUEL CHINWUBA OKOYE | MD | 1851380273 |
| DR. ROBERT L MOORE | M.D. | 1841281276 |
| DR. TODD A CLAYTON | M.D. | 1386621936 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.