Provider Demographics
NPI:1932949146
Name:KARAKI MEDICAL INC
Entity type:Organization
Organization Name:KARAKI MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:SHOROUQ
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-KARAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-943-9874
Mailing Address - Street 1:99 PORTAGE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5203
Mailing Address - Country:US
Mailing Address - Phone:646-943-9874
Mailing Address - Fax:732-587-5486
Practice Address - Street 1:1133 MARLBORO RD
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-4032
Practice Address - Country:US
Practice Address - Phone:732-360-9830
Practice Address - Fax:732-452-1950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty