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1730173121

NPI Code Detail

MEDICARE: DR. MARY M KARST MD

MEDICARE: DR. MARY M KARST 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	2085R0202X	Diagnostic Radiology Physician	00020068	AL
2	2085R0202X	Diagnostic Radiology Physician	ME90123	FL
3	2085R0204X	Vascular & Interventional Radiology Physician	MD20068	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	051523069	OTHER	AL	BC/BS PIN
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	051045114	OTHER	AL	BC/BS PIN

General Provider Information

NPI Number	:	1730173121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY M KARST MD

Provider Business Mailing Address
First Line	:	2055 NORMANDIE DR
Second Line	:	SUITE 108
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-2732
Country	:	US
Telephone Number	:	334-269-6337
Fax Number	:	334-834-0657

Provider Business Practice Location Address
First Line	:	2055 NORMANDIE DR
Second Line	:	SUITE 108
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-2732
Country	:	US
Telephone Number	:	334-288-4624
Fax Number	:	334-280-3628

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	10/19/2016

Similar Medicare Providers

1003800418 — DR. DAVID C MONTIEL MD
Practice Location Address:

2055 NORMANDIE DR , SUITE 108
MONTGOMERY, AL
36111-2732

Practice Phone: 334-288-4624
Practice Fax: 334-280-3628

1417941832 — DR. DANIEL SCOTT NOYES D.O.
Practice Location Address:

2055 NORMANDIE DR , SUITE 108
MONTGOMERY, AL
36111-2732

Practice Phone: 334-288-4624
Practice Fax: 334-280-3628

1043204464 — DR. OSCAR PADILLA ORILLE M.D.
Practice Location Address:

2055 NORMANDIE DR , SUITE 108
MONTGOMERY, AL
36111-2732

Practice Phone: 334-288-4624
Practice Fax: 334-280-3628

1295729689 — DR. CHRISTOPHER J DORVAULT M.D.
Practice Location Address:

2055 NORMANDIE DR , SUITE 108
MONTGOMERY, AL
36111-2732

Practice Phone: 334-288-4624
Practice Fax: 334-280-3628

1336133735 — DR. MARK H LEQUIRE M.D.
Practice Location Address:

2055 NORMANDIE DR , SUITE 108
MONTGOMERY, AL
36111-2732

Practice Phone: 334-288-4624
Practice Fax: 334-280-3628

1346234747 — DR. JOSEPH M BAILEY MD
Practice Location Address:

2055 NORMANDIE DR , SUITE 108
MONTGOMERY, AL
36111-2732

Practice Phone: 334-288-4624
Practice Fax: 334-280-3628

Directions to “ DR. MARY M KARST MD” Practice Location

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