Healthcare Provider Details
I. General information
NPI: 1114776820
Provider Name (Legal Business Name): OSAMA ASAD SULEIMAN KARAJEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/15/2024
Last Update Date: 08/01/2024
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1400 S. COULTER STREET SUITE 2500
AMARILLO TX
79106-1786
US
IV. Provider business mailing address
1400 S. COULTER STREET SUITE 2500
AMARILLO TX
79106-1786
US
V. Phone/Fax
- Phone: 806-414-9100
- Fax: 806-354-5717
- Phone: 806-414-9100
- Fax: 806-354-5717
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: