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General NPI Number Information
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NPI Number | 1356584312
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Entity Type | Individual
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Provider Name | KAROLIN OVRAHIM REED M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 401 BICENTENNIAL WAY
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City | SANTA ROSA
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State | CA
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Zip | 95403-2149
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Country | US
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Telephone | 707-393-4269
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Fax |
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Provider Business Mailing Address
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Address Line | 401 BICENTENNIAL WAY
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City | SANTA ROSA
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State | CA
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Zip | 95403-2149
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Country | US
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Telephone | 209-277-3346
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036.129593
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A137092
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License Number State | CA
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