Provider Demographics
NPI:1912163387
Name:AHMET R KARACA MD PC
Entity Type:Organization
Organization Name:AHMET R KARACA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMET
Authorized Official - Middle Name:
Authorized Official - Last Name:KARACA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-258-5100
Mailing Address - Street 1:40950 WOODWARD AVENUE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304
Mailing Address - Country:US
Mailing Address - Phone:248-642-1020
Mailing Address - Fax:248-642-9065
Practice Address - Street 1:40950 WOODWARD AVENUE
Practice Address - Street 2:SUITE 303
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304
Practice Address - Country:US
Practice Address - Phone:248-642-1020
Practice Address - Fax:248-642-9065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301034348208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI1020Medicare PIN
MIB46948Medicare UPIN