Provider Demographics
NPI:1003286352
Name:KARAN, GEORGE JR
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:KARAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:PA
Mailing Address - Zip Code:15089-2402
Mailing Address - Country:US
Mailing Address - Phone:724-872-4958
Mailing Address - Fax:
Practice Address - Street 1:218 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:PA
Practice Address - Zip Code:15089-2402
Practice Address - Country:US
Practice Address - Phone:724-872-4958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN633119163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse