Provider Demographics
NPI:1760527113
Name:KARAM, NICOLAS MIKHAEL (MD)
Entity Type:Individual
Prefix:
First Name:NICOLAS
Middle Name:MIKHAEL
Last Name:KARAM
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 1:214 CORNELIA ST STE 204
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2332
Mailing Address - Country:US
Mailing Address - Phone:603-380-8272
Mailing Address - Fax:518-562-3572
Practice Address - Street 1:214 CORNELIA ST STE 204
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2332
Practice Address - Country:US
Practice Address - Phone:603-380-8272
Practice Address - Fax:518-562-3572
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH15482207RC0000X, 207RC0001X
NY296388207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000550369OtherBCBS (CC #)
KY000000542978OtherBCBS (HEART CENTER #)
KY7100026810Medicaid
KY000000542978OtherBCBS (HEART CENTER #)
KY0305832Medicare PIN
KY00190006Medicare PIN
KYP00422326Medicare PIN