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General NPI Number Information
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NPI Number | 1245313535
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Entity Type | Individual
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Provider Name | MICKEY M KARRAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 7759 UNIVERSITY DRIVE SUITE G
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City | WEST CHESTER
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State | OH
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Zip | 45069
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Country | US
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Telephone | 513-463-2500
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Fax | 513-463-2510
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Provider Business Mailing Address
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Address Line | 237 WILLIAM HOWARD TAFT, PHYS. DIV. 2ND FL, CBO2-3, ATTN: CREDENTIALING
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-263-8571
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Fax | 513-366-4480
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.053449
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 23528
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 35.053449
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License Number State | OH
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