Provider Demographics
NPI:1811998297
Name:KARAMALI, ADIL M (MD)
Entity type:Individual
Prefix:
First Name:ADIL
Middle Name:M
Last Name:KARAMALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 BRIGHAM DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-7114
Mailing Address - Country:US
Mailing Address - Phone:419-872-7703
Mailing Address - Fax:419-872-1704
Practice Address - Street 1:1601 BRIGHAM DR
Practice Address - Street 2:SUITE 120
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-7114
Practice Address - Country:US
Practice Address - Phone:419-872-7703
Practice Address - Fax:419-872-1704
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301051193207RC0000X
OH35070601207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH02270OtherPARAMOUNT
OH5087198OtherAETNA
MI4680764Medicaid
MI4680773Medicaid
OH25-01204OtherUHC
OH000000285789OtherANTHEM
OH2020440Medicaid
MI4680782Medicaid
OHP00038302OtherRRMC
OHP00038302OtherRRMC
MI4680782Medicaid