MEDICARE: KARIM M FRAM MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0600X	Clinical Neurophysiology Physician	4301047856	MI

General Provider Information

NPI Number	:	1356530653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KARIM M FRAM MD PC

Provider Business Mailing Address
First Line	:	PO BOX 190
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-0190
Country	:	US
Telephone Number	:	810-667-9132
Fax Number	:	810-667-0026

Provider Business Practice Location Address
First Line	:	237 DAVIS LAKE RD
Second Line	:	SUITE B
City	:	LAPEER
State	:	MI
Zip	:	48446-1485
Country	:	US
Telephone Number	:	810-667-9132
Fax Number	:	810-667-0026

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KARIM M FRAM
Credential	:	M.D.
Telephone Number	:	810-667-9132

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	10/23/2007

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