Provider Demographics
NPI:1649422627
Name:HOLIFIELD, KARINTHA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARINTHA
Middle Name:
Last Name:HOLIFIELD
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 1:853 RIVERSIDE DR APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-6438
Mailing Address - Country:US
Mailing Address - Phone:786-877-8646
Mailing Address - Fax:
Practice Address - Street 1:125 CHUBB AVE STE 100S
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-3504
Practice Address - Country:US
Practice Address - Phone:908-392-1948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11071600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine