Provider Demographics
NPI:1588034227
Name:KARANAM, SRIKAR (DO)
Entity Type:Individual
Prefix:
First Name:SRIKAR
Middle Name:
Last Name:KARANAM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BRECKENRIDGE DR APT 203
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-3709
Mailing Address - Country:US
Mailing Address - Phone:513-373-9556
Mailing Address - Fax:
Practice Address - Street 1:114 BRECKENRIDGE DR APT 203
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-3709
Practice Address - Country:US
Practice Address - Phone:513-373-9556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.007148207P00000X
WI75272207P00000X
MS25252207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine