MEDICARE: MICHAEL DEMETRIUS KARAGAS MD

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	G3509	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0034RE	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578568408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL DEMETRIUS KARAGAS MD

Provider Business Mailing Address
First Line	:	13725 NORTHWEST BLVD
Second Line	:	SUITE 11
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78410-5127
Country	:	US
Telephone Number	:	361-767-9601
Fax Number	:	361-767-9604

Provider Business Practice Location Address
First Line	:	13725 NORTHWEST BLVD
Second Line	:	SUITE 11
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78410-5127
Country	:	US
Telephone Number	:	361-767-9601
Fax Number	:	361-767-9604

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	07/31/2008

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