Healthcare Provider Details

I. General information

NPI: 1801337084
Provider Name (Legal Business Name): KODJO KARIKARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 GREENSPRINGS DR
YORK PA
17402-8825
US

IV. Provider business mailing address

1232 GREENSPRINGS DR
YORK PA
17402-8825
US

V. Phone/Fax

Practice location:
  • Phone: 717-845-9639
  • Fax: 717-699-1300
Mailing address:
  • Phone: 717-845-9639
  • Fax: 717-699-1300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD475664
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: