Provider Demographics
NPI:1740788702
Name:MICHAEL KARAGAS, M.D., P.C. D/B/A/ KMG MEDICAL GROUP
Entity Type:Organization
Organization Name:MICHAEL KARAGAS, M.D., P.C. D/B/A/ KMG MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:KARAGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-563-5508
Mailing Address - Street 1:27 E 28TH ST FL 12
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7921
Mailing Address - Country:US
Mailing Address - Phone:361-563-5508
Mailing Address - Fax:646-224-8614
Practice Address - Street 1:1390 MARKET ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-5404
Practice Address - Country:US
Practice Address - Phone:833-745-3377
Practice Address - Fax:646-224-8614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-24
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC152908207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty