Search › Virginia › 207R00000X
Imhotep Boukman, MD
NPI 1326094723 · on the registry since 2006
Practice
- Address
- 100 Sentara Cir Rm 2c
Williamsburg, VA 23188 - Phone
- (757) 984-7217
- Fax
- (757) 984-7210
- Organisation at this address
- Sentara Hospitals
Sentara Hospitals
Sentara Hospitals
Sentara Medical Group
Williamsburg Emergency PhysiciansInferred from a shared address, not stated in the registry. - Clinicians at this address
- 44
Additional practice sites
- 3401 N Broad St, Philadelphia, PA
- 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208M00000X - Licence states on file
- PA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia