Provider Demographics
NPI:1386850774
Name:KARAM, SARA (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:KARAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:RACHELLE
Other - Last Name:GRIMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1900 CORLIES AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4800
Mailing Address - Country:US
Mailing Address - Phone:732-663-1123
Mailing Address - Fax:732-663-1179
Practice Address - Street 1:1900 CORLIES AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4800
Practice Address - Country:US
Practice Address - Phone:732-663-1123
Practice Address - Fax:732-663-1179
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431128207RC0000X
NJMA0859950207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001964518OtherHIGHMARK BLUE SHIELD
PAP00453851Medicare PIN
PA001964518OtherHIGHMARK BLUE SHIELD