Provider Demographics
NPI:1508096850
Name:KARUPPASAMY, KARUNAKARAVEL (MBBS, FRCR, MSC)
Entity Type:Individual
Prefix:DR
First Name:KARUNAKARAVEL
Middle Name:
Last Name:KARUPPASAMY
Suffix:
Gender:M
Credentials:MBBS, FRCR, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 WYNDGATE CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2996
Mailing Address - Country:US
Mailing Address - Phone:216-925-2443
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:HB6
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-0617
Practice Address - Fax:216-445-1492
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0975722085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology