Healthcare Provider Details

I. General information

NPI: 1205767241
Provider Name (Legal Business Name): DANIEL KARAKAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OPC 454 BOX 33
APO AE
09250-9001
US

IV. Provider business mailing address

OPC 454 BOX 33
APO AE
09250-9001
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-3678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN653357
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: