Provider Demographics
NPI:1558300699
Name:KARAM, MELINDA ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MELINDA
Middle Name:ELIZABETH
Last Name:KARAM
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18325 E 10 MILE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4990
Mailing Address - Country:US
Mailing Address - Phone:586-776-1010
Mailing Address - Fax:586-776-0364
Practice Address - Street 1:18325 E 10 MILE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4990
Practice Address - Country:US
Practice Address - Phone:586-776-1010
Practice Address - Fax:586-776-0364
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301038213208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3288980Medicaid
MIF06111Medicare UPIN