Provider Demographics
NPI:1710995220
Name:SKJEI, KAREN L (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:SKJEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:444 EXECUTIVE CENTER BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1056
Mailing Address - Country:US
Mailing Address - Phone:915-223-2020
Mailing Address - Fax:254-549-9557
Practice Address - Street 1:444 EXECUTIVE CENTER BLVD STE 203
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1056
Practice Address - Country:US
Practice Address - Phone:915-223-2020
Practice Address - Fax:254-549-9557
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48761208000000X
TXS29012084E0001X, 2084N0402X
PA4395892084N0402X
KY454732084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100251780Medicaid
MN627980000Medicaid
KY7100251780Medicaid
MN627980000Medicaid