Provider Demographics
NPI:1497781991
Name:BARYEH, KWADWO BOADI (MD)
Entity Type:Individual
Prefix:DR
First Name:KWADWO
Middle Name:BOADI
Last Name:BARYEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 N MECKLENBURG AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-4080
Mailing Address - Country:US
Mailing Address - Phone:434-584-5567
Mailing Address - Fax:434-584-5570
Practice Address - Street 1:1755 N MECKLENBURG AVE
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-4080
Practice Address - Country:US
Practice Address - Phone:434-584-5567
Practice Address - Fax:434-584-5570
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101274035207V00000X
PAMD421395207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001941455Medicaid
PA100435OtherGEISINGER
PA141285OtherUNISON-WMG
PA50018386OtherCAPITAL BLUE CROSS-WMG
PA1459922OtherHIGHMARK BLUE SHIELD
MD401851600Medicaid
PA20020981OtherAMERIHEALTH MERCY-WMG
PA7603486OtherAETNA
PA105442OtherJOHNS HOPKINS
PA3108696OtherMAMSI-WMG
PA1530692OtherGATEWAY-WMG
PA416349OtherUPMC-WMG
PA1530692OtherGATEWAY-WMG
PA001941455Medicaid
PA141285OtherUNISON-WMG
PA50018386OtherCAPITAL BLUE CROSS-WMG
PA141285OtherUNISON-WMG
MD619011OtherCAREFIRST MD BCBS