MEDICARE: ELENA KARZOVA MD

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
1	2084P0800X	Psychiatry Physician	MD427837	PA

General Provider Information

NPI Number	:	1669498549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA KARZOVA MD

Provider Business Mailing Address
First Line	:	801 W GIRARD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122-4212
Country	:	US
Telephone Number	:	215-787-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 W GIRARD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19130-1615
Country	:	US
Telephone Number	:	215-787-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	10/30/2015

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