Healthcare Provider Details

I. General information

NPI: 1548263163
Provider Name (Legal Business Name): KASRA KARAMLOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 KOLBE RD STE 105
LORAIN OH
44053-1652
US

IV. Provider business mailing address

3600 KOLBE RD STE 105
LORAIN OH
44053-1652
US

V. Phone/Fax

Practice location:
  • Phone: 440-324-0400
  • Fax: 440-324-0441
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.135237
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number52718
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD22283
License Number StateOR
# 4
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC55442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: