Individual
KOFI CLARKE
Active
Individual
KOFI CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 060406 L
PA
207RG0100X
Gastroenterology Physician
Primary
MD060406L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001663170
—
PA
05
—
0016631700008
—
PA
01
—
109978
GEISINGER HEALTH PLAN
PA
01
—
110210402
RAILROAD MEDICARE
PA
01
—
111399
UNISON HEALTH PLAN
PA
01
—
12230
BRAVO HEALTH
PA
01
—
251879
UPMC HEALTH PLAN
PA
01
—
4175980-0001
CIGNA
PA
01
—
CL964338
HIGHMARK
PA
01
—
P001620
GATEWAY HEALTH PLAN
PA
Enumeration date
04/14/2006
Last updated
08/30/2016
Update your record
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