Healthcare Provider Details

I. General information

NPI: 1508652199
Provider Name (Legal Business Name): KARAM GHAZAL-ASWAD MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MICHIGAN HEALTH - SPARROW 1215 E MICHIGAN AVE
LANSING MI
48912
US

IV. Provider business mailing address

GRADUATE MEDICAL EDUCATION INTERNAL MEDICINE RESIDENCY 1322 E MICHIGAN AVE, SUITE #300
LANSING MI
48912
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-1000
  • Fax:
Mailing address:
  • Phone: 517-364-5184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: