Healthcare Provider Details

I. General information

NPI: 1700879939
Provider Name (Legal Business Name): CAMILLE A. KARAFFA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 MONCLOVA RD SUITE25
MAUMEE OH
43537-1863
US

IV. Provider business mailing address

7550 LUCERNE DR SUITE 405
MIDDLEBURG HEIGHTS OH
44130-6588
US

V. Phone/Fax

Practice location:
  • Phone: 419-794-8210
  • Fax: 419-794-8211
Mailing address:
  • Phone: 440-234-8833
  • Fax: 440-234-3313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35051739
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: