Provider Demographics
NPI:1609224831
Name:BUABENG, ISAAC KWADWO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:KWADWO
Last Name:BUABENG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 IRVING STREET NW
Mailing Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:22042
Mailing Address - Country:US
Mailing Address - Phone:202-745-8000
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING STREET NW
Practice Address - Street 2:DEPARTMENT OF VETERANS AFFAIRS (DCVA)
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:22042
Practice Address - Country:US
Practice Address - Phone:202-745-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233862183500000X
TX54860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist