Healthcare Provider Details

I. General information

NPI: 1942430491
Provider Name (Legal Business Name): JOSEPH KARAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E 28TH ST STE 300
MINNEAPOLIS MN
55407-1195
US

IV. Provider business mailing address

6436 MARGARETS LN
EDINA MN
55439-1018
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-6800
  • Fax:
Mailing address:
  • Phone: 248-835-7478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number60473
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number60473
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: