Provider Demographics
NPI:1437846508
Name:ABI KARAM, MARC (MD, MS)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:
Last Name:ABI KARAM
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 SAND HILL RD APT 209
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-2030
Mailing Address - Country:US
Mailing Address - Phone:650-644-5656
Mailing Address - Fax:
Practice Address - Street 1:1470 SAND HILL RD APT 209
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2030
Practice Address - Country:US
Practice Address - Phone:650-644-5656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0000000208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery