Provider Demographics
NPI:1154618692
Name:SOMANI, KARUN (MD)
Entity type:Individual
Prefix:
First Name:KARUN
Middle Name:
Last Name:SOMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:148 BILL CARRUTH PKWY STE 180
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-3756
Mailing Address - Country:US
Mailing Address - Phone:770-445-1915
Mailing Address - Fax:770-445-6876
Practice Address - Street 1:148 BILL CARRUTH PKWY STE 180
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-3756
Practice Address - Country:US
Practice Address - Phone:770-445-1915
Practice Address - Fax:770-445-6876
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2019-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA4878208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery