Provider Demographics
NPI:1588693337
Name:KARAKUNNEL, JOYSON (MD)
Entity type:Individual
Prefix:DR
First Name:JOYSON
Middle Name:
Last Name:KARAKUNNEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18606 HARVEST SCENE CT
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4374
Mailing Address - Country:US
Mailing Address - Phone:301-641-6063
Mailing Address - Fax:
Practice Address - Street 1:1635 N. GEORGE MASON DR.
Practice Address - Street 2:SUITE 115
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3601
Practice Address - Country:US
Practice Address - Phone:703-243-1310
Practice Address - Fax:703-243-0128
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237665208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010201951Medicaid
VA016857A47Medicare ID - Type Unspecified
VA010201951Medicaid