Provider Demographics
NPI:1689562910
Name:AGYEMAN BADU, NANA BOAKYE (MD MPH)
Entity type:Individual
Prefix:
First Name:NANA BOAKYE
Middle Name:
Last Name:AGYEMAN BADU
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:NANA BOAKYE
Other - Middle Name:AGYEMAN
Other - Last Name:BADU-PREMPEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD MPH
Mailing Address - Street 1:96 JONATHAN LUCAS ST CSB 3101 MSC 606
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:169 ASHLEY AVE RM 202
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8905
Practice Address - Country:US
Practice Address - Phone:843-518-8438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL948282084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology