Provider Demographics
NPI:1003246182
Name:KARAZIJA, PAUL ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ANTHONY
Last Name:KARAZIJA
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 1:3400 YANKEE DR
Mailing Address - Street 2:R416
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-1627
Mailing Address - Country:US
Mailing Address - Phone:651-662-2566
Mailing Address - Fax:
Practice Address - Street 1:3400 YANKEE DR
Practice Address - Street 2:R416
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-1627
Practice Address - Country:US
Practice Address - Phone:651-662-2566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27756207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine