Provider Demographics
NPI:1225021850
Name:LUDWIG, KARLA M (MD)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:M
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-721-4840
Mailing Address - Fax:717-738-3558
Practice Address - Street 1:460 N READING RD
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-9606
Practice Address - Country:US
Practice Address - Phone:717-721-4840
Practice Address - Fax:717-738-3558
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA036017E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011850260002Medicaid
PA573400OtherHIGHMARK BLUE SHIELD
PA02789600OtherCAPITAL BLUE CROSS
PA573400Medicare ID - Type Unspecified
E23232Medicare UPIN