Provider Demographics
NPI:1023801289
Name:KHASAWNEH, KARAM LOAI
Entity type:Individual
Prefix:
First Name:KARAM
Middle Name:LOAI
Last Name:KHASAWNEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 FRANCES WAY
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-7613
Mailing Address - Country:US
Mailing Address - Phone:734-383-3242
Mailing Address - Fax:
Practice Address - Street 1:2000 FRANCES WAY
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-7613
Practice Address - Country:US
Practice Address - Phone:734-383-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program