Provider Demographics
NPI:1740419019
Name:KARRAS, THOMAS JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAMES
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 1:212 S TURTLE BAY
Mailing Address - Street 2:
Mailing Address - City:ELKHART LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:53020-1985
Mailing Address - Country:US
Mailing Address - Phone:619-992-0007
Mailing Address - Fax:
Practice Address - Street 1:212 S TURTLE BAY
Practice Address - Street 2:
Practice Address - City:ELKHART LAKE
Practice Address - State:WI
Practice Address - Zip Code:53020-1985
Practice Address - Country:US
Practice Address - Phone:619-992-0007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18611-020207RC0000X
CAGFE18632207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease