MEDICARE: DR. MICHAEL KARRAM M.D.

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	207V00000X	Obstetrics & Gynecology Physician	0103309A	IN
2	207V00000X	Obstetrics & Gynecology Physician	21418	KY
3	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	35.050312	OH
4	207V00000X	Obstetrics & Gynecology Physician	35.050312	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	160039889	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	288035	OTHER	OH	AMERIGROUP
2	988624	OTHER	OH	AETNA
3	0720396	OTHER	OH	UNITED HEALTHCARE
5	000000020713	OTHER	OH	ANTHEM
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	311575051044	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1467455881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL KARRAM M.D.

Provider Business Mailing Address
First Line	:	237 WILLIAM HOWARD TAFT RD
Second Line	:	CBO2-3, ATTN: CREDENTIALING
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2610
Country	:	US
Telephone Number	:	513-263-8571
Fax Number	:	513-366-4480

Provider Business Practice Location Address
First Line	:	4631 RIDGE AVE STE A
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1028
Country	:	US
Telephone Number	:	513-882-6423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	01/25/2024

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