Provider Demographics
NPI:1851786339
Name:TAKAMURA, KARREN (MD)
Entity type:Individual
Prefix:
First Name:KARREN
Middle Name:
Last Name:TAKAMURA
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:PO BOX 64134
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4134
Mailing Address - Country:US
Mailing Address - Phone:667-214-2714
Mailing Address - Fax:410-448-6926
Practice Address - Street 1:226 SCHILLING CIR STE 170
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-8641
Practice Address - Country:US
Practice Address - Phone:410-448-6400
Practice Address - Fax:410-785-4840
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-01
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA287121207X00000X
MDD94958207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery