Provider Demographics
NPI:1720222524
Name:KARAN, SHOBHA (MD)
Entity Type:Individual
Prefix:
First Name:SHOBHA
Middle Name:
Last Name:KARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 MACARTHUR DR
Mailing Address - Street 2:SUITE 2205
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-3161
Mailing Address - Country:US
Mailing Address - Phone:254-202-6500
Mailing Address - Fax:254-202-6510
Practice Address - Street 1:2201 MACARTHUR DR
Practice Address - Street 2:SUITE 2205
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-3161
Practice Address - Country:US
Practice Address - Phone:254-202-6500
Practice Address - Fax:254-202-6510
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7626207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine