Provider Demographics
NPI:1922086768
Name:KARP, RONDA G (DO)
Entity Type:Individual
Prefix:
First Name:RONDA
Middle Name:G
Last Name:KARP
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 GERMANTOWN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19119
Mailing Address - Country:US
Mailing Address - Phone:215-248-0112
Mailing Address - Fax:
Practice Address - Street 1:7500 GERMANTOWN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1600
Practice Address - Country:US
Practice Address - Phone:215-248-0112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004593L207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA237495YG39Medicare PIN
D71627Medicare UPIN