Provider Demographics
NPI:1518115567
Name:HAAS, KAREN A (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:HAAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 E HERMANS RD
Mailing Address - Street 2:M05-7
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-9367
Mailing Address - Country:US
Mailing Address - Phone:520-794-8353
Mailing Address - Fax:
Practice Address - Street 1:1151 E HERMANS RD
Practice Address - Street 2:M05-7
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-9367
Practice Address - Country:US
Practice Address - Phone:520-794-8353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ26740207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G14753Medicare UPIN