Healthcare Provider Details

I. General information

NPI: 1851786339
Provider Name (Legal Business Name): KARREN TAKAMURA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 SCHILLING CIR STE 170
HUNT VALLEY MD
21031-8641
US

IV. Provider business mailing address

PO BOX 64134
BALTIMORE MD
21264-4134
US

V. Phone/Fax

Practice location:
  • Phone: 410-448-6400
  • Fax: 410-785-4840
Mailing address:
  • Phone: 667-214-2714
  • Fax: 410-448-6926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number287121
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD94958
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: