Healthcare Provider Details
I. General information
NPI: 1205538220
Provider Name (Legal Business Name): FRANK G KARKAZIS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/21/2023
Last Update Date: 04/19/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1900 ELECTRIC RD
SALEM VA
24153-7474
US
IV. Provider business mailing address
1902 BRAEBURN DR
SALEM VA
24153-7304
US
V. Phone/Fax
- Phone: 540-444-2347
- Fax:
- Phone: 540-444-2347
- Fax:
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: