Provider Demographics
NPI:1558598243
Name:KARAPETYAN, KARINE (MD)
Entity Type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:KARAPETYAN
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 1:14318 ALLEE LN
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4955
Mailing Address - Country:US
Mailing Address - Phone:718-887-6645
Mailing Address - Fax:
Practice Address - Street 1:14318 ALLEE LN
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4955
Practice Address - Country:US
Practice Address - Phone:718-887-6645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446198207R00000X, 208M00000X
DEC1-0011442207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102754100Medicaid