Provider Demographics
NPI:1881700292
Name:PAPEZ, KAREN E (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:PAPEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6622 N 91ST AVE
Mailing Address - Street 2:STE 220
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-2569
Mailing Address - Country:US
Mailing Address - Phone:602-759-6883
Mailing Address - Fax:602-224-3358
Practice Address - Street 1:2545 E THOMAS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7941
Practice Address - Country:US
Practice Address - Phone:602-903-1532
Practice Address - Fax:602-956-0567
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2020-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301081980208000000X, 2080P0210X
AZ37068208000000X, 2080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ240160Medicaid
AZ37068OtherLICENSE
AZZ179168Medicare PIN