Healthcare Provider Details

I. General information

NPI: 1902556921
Provider Name (Legal Business Name): NICOLE AGYEI KARIKARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SPRUCE ST
PHILADELPHIA PA
19104-4238
US

IV. Provider business mailing address

3400 SPRUCE ST DEPT OF EMERGENCY MEDICINE
PHILADELPHIA PA
19104-4238
US

V. Phone/Fax

Practice location:
  • Phone: 703-727-5184
  • Fax:
Mailing address:
  • Phone: 215-662-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101288279
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: