Provider Demographics
NPI:1679673289
Name:KARMO, FIRAS R (MD)
Entity Type:Individual
Prefix:DR
First Name:FIRAS
Middle Name:R
Last Name:KARMO
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 1:44555 WOODWARD AVENUE SUITE 103
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-5032
Mailing Address - Country:US
Mailing Address - Phone:248-858-3777
Mailing Address - Fax:248-858-6799
Practice Address - Street 1:44555 WOODWARD AVE 103
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5032
Practice Address - Country:US
Practice Address - Phone:248-858-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI100858208200000X
MI4301066100174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4560210Medicaid
MIH26002Medicare UPIN
MIN77290001Medicare PIN