Provider Demographics
NPI:1740266014
Name:CARAM, PEDRO M SR (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:M
Last Name:CARAM
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:18511 HIGHLANDER MEDICS ST # 5626
Mailing Address - Street 2:
Mailing Address - City:FORT BLISS
Mailing Address - State:TX
Mailing Address - Zip Code:79906-5327
Mailing Address - Country:US
Mailing Address - Phone:915-742-4323
Mailing Address - Fax:915-742-2706
Practice Address - Street 1:18511 HIGHLANDER MEDICS ST # 5626
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79906-5327
Practice Address - Country:US
Practice Address - Phone:915-742-4323
Practice Address - Fax:915-742-2706
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH0231207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1740266014OtherNPI
TX00K79EMedicare ID - Type Unspecified