Individual provider · NPI-1

Prince Basoah, MD

Family Medicine · Des Moines, IA

NPI number1831035286
StatusActive
Last updated in NPPESJun 16, 2026

Details

NPI
1831035286
Entity type
Individual (NPI-1)
Name
Prince Basoah
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 28, 2026
Certification date
Jun 16, 2026
Last updated
Jun 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR-13765IAYes

Practice location

1111 6th Ave
Des Moines, IA 50314-2613

Phone 515-612-9595 · Fax 515-346-6721

Mailing address

1111 6th Ave
Des Moines, IA 50314-2613

Phone 515-612-9595 · Fax 515-346-6721

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