Basic Information
Provider Information
NPI: 1164802971
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARPENSHIF
FirstName: YOAV
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3801 FILBERT ST
Address2: MAB STE 102
City: PHILADELPHIA
State: PA
PostalCode: 191042640
CountryCode: US
TelephoneNumber: 2156629990
FaxNumber:  
Practice Location
Address1: 3801 FILBERT ST
Address2: MAB STE 102
City: PHILADELPHIA
State: PA
PostalCode: 19104
CountryCode: US
TelephoneNumber: 2156629990
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/05/2015
LastUpdateDate: 08/13/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD464747PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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