Healthcare Provider Details

I. General information

NPI: 1396608436
Provider Name (Legal Business Name): MARIA KARKABI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 S 42ND ST
PHILADELPHIA PA
19104-4448
US

IV. Provider business mailing address

523 S 42ND ST
PHILADELPHIA PA
19104-4448
US

V. Phone/Fax

Practice location:
  • Phone: 415-578-8789
  • Fax:
Mailing address:
  • Phone: 415-578-8789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMF000109
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: