Provider Demographics
NPI:1982603213
Name:KAROUNOS, GARRY C (MD,PC)
Entity type:Individual
Prefix:DR
First Name:GARRY
Middle Name:C
Last Name:KAROUNOS
Suffix:
Gender:M
Credentials:MD,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 W HAMILTON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6337
Mailing Address - Country:US
Mailing Address - Phone:610-435-4535
Mailing Address - Fax:610-435-4599
Practice Address - Street 1:2200 W HAMILTON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6337
Practice Address - Country:US
Practice Address - Phone:610-435-4535
Practice Address - Fax:610-435-4599
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044194E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA083936Medicare ID - Type Unspecified
PAF36483Medicare UPIN