Provider Demographics
NPI:1912205808
Name:DONKOR, CHARAN Y (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARAN
Middle Name:Y
Last Name:DONKOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7421 N UNIVERSITY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2952
Mailing Address - Country:US
Mailing Address - Phone:954-726-0095
Mailing Address - Fax:954-838-8807
Practice Address - Street 1:7421 N UNIVERSITY DR STE 103
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2952
Practice Address - Country:US
Practice Address - Phone:954-726-0095
Practice Address - Fax:954-838-8807
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109081208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery