Provider Demographics
NPI:1073711438
Name:KARMO AESTHETIC CENTER PC
Entity Type:Organization
Organization Name:KARMO AESTHETIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KARMO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-858-6777
Mailing Address - Street 1:44555 WOODWARD AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-5031
Mailing Address - Country:US
Mailing Address - Phone:248-858-6777
Mailing Address - Fax:248-858-6799
Practice Address - Street 1:44555 WOODWARD AVE
Practice Address - Street 2:STE 103
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5031
Practice Address - Country:US
Practice Address - Phone:248-858-6777
Practice Address - Fax:248-858-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4560210Medicaid
MION77290Medicare PIN
MI4560210Medicaid