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NPI Code Detail

MEDICARE: ALEXANDER KARNGA

MEDICARE:   ALEXANDER  KARNGA
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
1103K00000XBehavior AnalystMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487181947
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER KARNGA
Provider Business Mailing Address
First Line : 9641 HARPER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48213-2731
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9641 HARPER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48213-2731
Country : US
Telephone Number : 301-755-7812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2017
Last Update Date : 05/16/2017

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Directions to “ ALEXANDER KARNGA ” Practice Location

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