Provider Demographics
NPI:1578568408
Name:KARAGAS, MICHAEL DEMETRIUS (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DEMETRIUS
Last Name:KARAGAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13725 NORTHWEST BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-5127
Mailing Address - Country:US
Mailing Address - Phone:361-767-9601
Mailing Address - Fax:361-767-9604
Practice Address - Street 1:13725 NORTHWEST BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-5127
Practice Address - Country:US
Practice Address - Phone:361-767-9601
Practice Address - Fax:361-767-9604
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3509207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0034REOtherBLUE CROSS BLUE SHIELD
TX114482601Medicaid
TX114482601Medicaid
613307Medicare PIN