Provider Demographics
NPI:1407912926
Name:KARA, ASHOK (PHD)
Entity Type:Individual
Prefix:
First Name:ASHOK
Middle Name:
Last Name:KARA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 POPLAR AVE STE 1610
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38157-1610
Mailing Address - Country:US
Mailing Address - Phone:901-682-7310
Mailing Address - Fax:662-429-7853
Practice Address - Street 1:5050 POPLAR AVE STE 1610
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38157-1610
Practice Address - Country:US
Practice Address - Phone:901-682-7310
Practice Address - Fax:662-429-7853
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP561103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3680142Medicare ID - Type Unspecified