Provider Demographics
NPI:1184756314
Name:KIRIAKOS, CAROL RAMZI (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:RAMZI
Last Name:KIRIAKOS
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 1:9171 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 615
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5530
Mailing Address - Country:US
Mailing Address - Phone:310-271-8422
Mailing Address - Fax:310-273-1010
Practice Address - Street 1:9171 WILSHIRE BLVD
Practice Address - Street 2:SUITE 615
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5530
Practice Address - Country:US
Practice Address - Phone:310-271-8422
Practice Address - Fax:310-273-1010
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA855462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI45558Medicare UPIN
CAWA85546AMedicare ID - Type UnspecifiedPPIN