Provider Demographics
NPI:1932168549
Name:GARAMY, FRANK (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:GARAMY
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 1:747 BUTTERMILK PIKE
Mailing Address - Street 2:
Mailing Address - City:CRESENCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017
Mailing Address - Country:US
Mailing Address - Phone:859-341-3114
Mailing Address - Fax:859-578-2156
Practice Address - Street 1:747 BUTTERMILK PIKE
Practice Address - Street 2:
Practice Address - City:CRESENCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017
Practice Address - Country:US
Practice Address - Phone:859-341-3114
Practice Address - Fax:859-578-2156
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY15866207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2387573Medicaid
KY64158660Medicaid
KYC70710Medicare UPIN
OH2387573Medicaid