Provider Demographics
NPI:1326738808
Name:KARANA, REHAM (OD)
Entity Type:Individual
Prefix:
First Name:REHAM
Middle Name:
Last Name:KARANA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33100 S GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-4036
Mailing Address - Country:US
Mailing Address - Phone:586-294-0120
Mailing Address - Fax:586-294-6322
Practice Address - Street 1:33100 S GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48035-4036
Practice Address - Country:US
Practice Address - Phone:586-294-0120
Practice Address - Fax:586-294-6322
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005686152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist