Individual
DR. KODUAH PEPRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
324 E ANTIETAM ST STE 306, HAGERSTOWN, MD 21740-5768
(301) 739-0240
(301) 797-8546
Mailing address
324 E ANTIETAM ST STE 306, HAGERSTOWN, MD 21740-5768
(301) 739-0240
(301) 797-8546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0058181
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405662100
—
MD
Enumeration date
09/29/2006
Last updated
03/24/2011
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