Provider Demographics
NPI:1548333453
Name:TSIKATA, KAFUI VIDA (MD)
Entity type:Individual
Prefix:DR
First Name:KAFUI
Middle Name:VIDA
Last Name:TSIKATA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4801 VALLEY OVERLOOK DR
Mailing Address - Street 2:APT. 201
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-8650
Mailing Address - Country:US
Mailing Address - Phone:302-981-1112
Mailing Address - Fax:
Practice Address - Street 1:4801 VALLEY OVERLOOK DR
Practice Address - Street 2:APT. 201
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-8650
Practice Address - Country:US
Practice Address - Phone:302-981-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101240312207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine