MEDICARE: PHILIP KWEKU DUODU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MT236732	PA

General Provider Information

NPI Number	:	1346178068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP KWEKU DUODU MD

Provider Business Mailing Address
First Line	:	8815 GERMANTOWN AVE
Second Line	:	MOB 5TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2722
Country	:	US
Telephone Number	:	215-248-8907
Fax Number	:

Provider Business Practice Location Address
First Line	:	8815 GERMANTOWN AVE FL 5
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2722
Country	:	US
Telephone Number	:	215-248-8907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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