Healthcare Provider Details

I. General information

NPI: 1366534307
Provider Name (Legal Business Name): SURESH KARNE MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 LOWELL DRIVE SUITE 204
HUNTSVILLE AL
35801-3763
US

IV. Provider business mailing address

420 LOWELL DRIVE SUITE 204
HUNTSVILLE AL
35801-3763
US

V. Phone/Fax

Practice location:
  • Phone: 256-536-9031
  • Fax: 256-539-4240
Mailing address:
  • Phone: 256-536-9031
  • Fax: 256-539-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number23431
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number23431
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: