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NPI Code Detail

MEDICARE: DR. KUMAPLEY KOFI LARTEVI I M.D.

MEDICARE:  DR. KUMAPLEY KOFI LARTEVI I M.D.
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
1207Q00000XFamily Medicine PhysicianD0077560MD
2207Q00000XFamily Medicine PhysicianMD042176DC

General Provider Information

NPI Number : 1902037336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KUMAPLEY KOFI LARTEVI I M.D.
Provider Business Mailing Address
First Line : 1140 VARNUM ST NE STE 201
Second Line :
City : WASHINGTON
State : DC
Zip : 20017-2105
Country : US
Telephone Number : 202-489-4146
Fax Number : 202-464-5544
Provider Business Practice Location Address
First Line : 1160 VARNUM ST NE STE 307
Second Line :
City : WASHINGTON
State : DC
Zip : 20017-2103
Country : US
Telephone Number : 240-810-6000
Fax Number : 202-621-8029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2009
Last Update Date : 11/26/2024

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Directions to “ DR. KUMAPLEY KOFI LARTEVI I M.D.” Practice Location

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