Provider Demographics
NPI:1134225287
Name:KARACA, AHMET RAHMI (MD)
Entity type:Individual
Prefix:DR
First Name:AHMET
Middle Name:RAHMI
Last Name:KARACA
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 1:40950 WOODWARD AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-5127
Mailing Address - Country:US
Mailing Address - Phone:248-642-1020
Mailing Address - Fax:248-642-9065
Practice Address - Street 1:40950 WOODWARD AVE STE 303
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-5127
Practice Address - Country:US
Practice Address - Phone:248-642-1020
Practice Address - Fax:248-642-9065
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI34348208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI1020001Medicare PIN
MIB46948Medicare UPIN