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NPI Code Detail

MEDICARE: KOFI E SARFO M.D.

MEDICARE: KOFI E SARFO M.D.
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
1207Q00000XFamily Medicine Physician11205NV

General Provider Information

NPI Number : 1881695609
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOFI E SARFO M.D.
Provider Business Mailing Address
First Line : PO BOX 365404
Second Line :
City : N LAS VEGAS
State : NV
Zip : 89036-9404
Country : US
Telephone Number : 702-798-1233
Fax Number : 702-531-1233
Provider Business Practice Location Address
First Line : 2909 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1925
Country : US
Telephone Number : 702-798-1233
Fax Number : 702-531-1233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 05/20/2011

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Directions to “ KOFI E SARFO M.D.” Practice Location

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