Provider Demographics
NPI:1265471742
Name:KARAS, MARK M (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:M
Last Name:KARAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:195 SOUTHPARK BLVD
Mailing Address - Street 2:VA ST AUGUSTINE CBOC
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5134
Mailing Address - Country:US
Mailing Address - Phone:904-823-2961
Mailing Address - Fax:904-824-1165
Practice Address - Street 1:195 SOUTHPARK BLVD
Practice Address - Street 2:VA ST AUGUSTINE CBOC
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5134
Practice Address - Country:US
Practice Address - Phone:904-823-2961
Practice Address - Fax:904-824-1165
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2015-10-09
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Provider Licenses
StateLicense IDTaxonomies
PAMD019473E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009340710001Medicaid
PA058981OtherHIGHMARK
PAD68725Medicare UPIN