Provider Demographics
NPI:1841296738
Name:TARKANYI, KARL ELEK (DC)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:ELEK
Last Name:TARKANYI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:MR
Other - First Name:KARL
Other - Middle Name:ELEK
Other - Last Name:TARKANYI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:24120 NOVI RD
Mailing Address - Street 2:STE 200
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-3247
Mailing Address - Country:US
Mailing Address - Phone:248-477-2100
Mailing Address - Fax:248-477-8820
Practice Address - Street 1:24120 NOVI RD
Practice Address - Street 2:STE 200
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-3247
Practice Address - Country:US
Practice Address - Phone:248-477-2100
Practice Address - Fax:248-477-8820
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007062111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI95F353840OtherMICHIGAN BC/BS #
MIU59128Medicare UPIN
MI95F353840OtherMICHIGAN BC/BS #