Provider Demographics
NPI:1316982606
Name:KARNI, AMIR (MEDICAL DOCTOR)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:KARNI
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 CIRCLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:713-520-1652
Mailing Address - Fax:713-450-1345
Practice Address - Street 1:12930 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-5710
Practice Address - Country:US
Practice Address - Phone:713-453-7197
Practice Address - Fax:713-450-1345
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85122174400000X
TX47949208600000X
TXK2932174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7263360OtherAETNA
TX742136445OtherTAX ID #
TX81912B6OtherBLUE CROSS &BLUE SHIELD
TX10007807Medicaid
TX152346601Medicaid
TX00538TMedicare ID - Type Unspecified