Provider Demographics
NPI:1710346986
Name:KARRAS, BRYANT THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYANT
Middle Name:THOMAS
Last Name:KARRAS
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 1:2006 NE RAVENNA BLVD
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2427
Mailing Address - Country:US
Mailing Address - Phone:206-999-6640
Mailing Address - Fax:
Practice Address - Street 1:1610 NE 150TH ST
Practice Address - Street 2:STATE OF WASHINGTON, DEPT OF HEALTH
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-7224
Practice Address - Country:US
Practice Address - Phone:206-418-5540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00041958207R00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA20-8496956OtherEIN