Provider Demographics
NPI:1891929501
Name:OVANDIPOUR, KARMA E (MSPT)
Entity Type:Individual
Prefix:MRS
First Name:KARMA
Middle Name:E
Last Name:OVANDIPOUR
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 ALAMEDA CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3638
Mailing Address - Country:US
Mailing Address - Phone:972-727-1900
Mailing Address - Fax:972-727-1900
Practice Address - Street 1:700 ALMA DR STE 135
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8807
Practice Address - Country:US
Practice Address - Phone:972-423-5840
Practice Address - Fax:972-423-9427
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1079275225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist