Provider Demographics
NPI:1376882944
Name:MEKAM, CARINE S (CRT)
Entity Type:Individual
Prefix:MISS
First Name:CARINE
Middle Name:S
Last Name:MEKAM
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10901 SUNFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2460
Mailing Address - Country:US
Mailing Address - Phone:813-407-3806
Mailing Address - Fax:
Practice Address - Street 1:10901 SUNFLOWER CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-2460
Practice Address - Country:US
Practice Address - Phone:813-407-3806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-02
Last Update Date:2013-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0117007052227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified