MEDICARE: KARAT MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	238125	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518071059
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARAT MEDICAL PC

Provider Business Mailing Address
First Line	:	130 OCEANA DR W
Second Line	:	APT 5 F
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6649
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2615 E 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3805
Country	:	US
Telephone Number	:	718-645-2900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEXANDRE KARATCHOUNOV
Credential	:	MD
Telephone Number	:	718-645-2900

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	01/11/2012

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