Provider Demographics
NPI:1740322213
Name:GEORGE KARKAR MD PA
Entity type:Organization
Organization Name:GEORGE KARKAR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:NASIF
Authorized Official - Last Name:KARKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-282-0505
Mailing Address - Street 1:7835 EASTPOINT MALL
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2145
Mailing Address - Country:US
Mailing Address - Phone:410-282-0505
Mailing Address - Fax:410-284-3807
Practice Address - Street 1:7835 EASTPOINT MALL
Practice Address - Street 2:SUITE 303
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2145
Practice Address - Country:US
Practice Address - Phone:410-282-0505
Practice Address - Fax:410-284-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD184801100Medicaid
MD184801100Medicaid