Healthcare Provider Details

I. General information

NPI: 1306840954
Provider Name (Legal Business Name): JAMES B. KAROL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 WEBSTER ST STE 710
OAKLAND CA
94609-3122
US

IV. Provider business mailing address

3300 WEBSTER ST STE 710
OAKLAND CA
94609-3122
US

V. Phone/Fax

Practice location:
  • Phone: 510-465-5800
  • Fax: 510-839-8984
Mailing address:
  • Phone: 510-465-5800
  • Fax: 510-839-8984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA26178
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD-45912
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: