Provider Demographics
NPI:1134180177
Name:BUAHIN, KWAME GYAMFI (MD PHD)
Entity type:Individual
Prefix:
First Name:KWAME
Middle Name:GYAMFI
Last Name:BUAHIN
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 NW 95TH ST
Mailing Address - Street 2:STE 403
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150
Mailing Address - Country:US
Mailing Address - Phone:305-693-8804
Mailing Address - Fax:305-693-8807
Practice Address - Street 1:1190 NW 95TH ST
Practice Address - Street 2:STE 403
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150
Practice Address - Country:US
Practice Address - Phone:305-693-8804
Practice Address - Fax:305-693-8807
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80755207T00000X
CAG86294207T00000X
MI4301062484207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268675900Medicaid
FL37310ZMedicare ID - Type Unspecified
FL268675900Medicaid