Provider Demographics
NPI:1063257772
Name:KARAM, EMILE
Entity type:Individual
Prefix:
First Name:EMILE
Middle Name:
Last Name:KARAM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 E 17TH PL APT B
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-7042
Mailing Address - Country:US
Mailing Address - Phone:405-361-7373
Mailing Address - Fax:
Practice Address - Street 1:1420 E 17TH PL APT B
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-7042
Practice Address - Country:US
Practice Address - Phone:405-361-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program