Provider Demographics
NPI:1780022640
Name:JOSEPH A KARAM, MD
Entity type:Organization
Organization Name:JOSEPH A KARAM, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-550-1696
Mailing Address - Street 1:PO BOX 191569
Mailing Address - Street 2:4750 J STREET
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-7569
Mailing Address - Country:US
Mailing Address - Phone:714-289-1559
Mailing Address - Fax:714-289-0280
Practice Address - Street 1:19845 LAKE CHABOT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4055
Practice Address - Country:US
Practice Address - Phone:714-289-1559
Practice Address - Fax:714-289-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG88497174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1922097054Medicare NSC