Provider Demographics
NPI:1942248356
Name:CARTWRIGHT, KAREN C (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:C
Last Name:CARTWRIGHT
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 1:2804 W COMPTON CT
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-1181
Mailing Address - Country:US
Mailing Address - Phone:559-285-1131
Mailing Address - Fax:
Practice Address - Street 1:2804 W COMPTON CT
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-1181
Practice Address - Country:US
Practice Address - Phone:559-285-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG447332086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G44733Medicaid