Provider Demographics
NPI:1740262534
Name:ISRAEL, KAREN S (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:S
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5265 E 82ND ST
Mailing Address - Street 2:PMB 318
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1627
Mailing Address - Country:US
Mailing Address - Phone:317-403-5131
Mailing Address - Fax:317-863-8192
Practice Address - Street 1:5265 E 82ND ST
Practice Address - Street 2:PMB 318
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1627
Practice Address - Country:US
Practice Address - Phone:317-403-5131
Practice Address - Fax:317-863-8192
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2014-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01025067A207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100239470AMedicaid
IN000000086323OtherANTHEM PIN
110016455OtherRAILROAD MEDICARE
110016455OtherRAILROAD MEDICARE