MEDICARE: MICHAEL KARAGIOZIS DO LTD

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	207QA0505X	Adult Medicine Physician
2	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1801812946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL KARAGIOZIS DO LTD

Provider Business Mailing Address
First Line	:	10624 S EASTERN AVE
Second Line	:	SUITE A-745
City	:	HENDERSON
State	:	NV
Zip	:	89052-2982
Country	:	US
Telephone Number	:	702-567-9980
Fax Number	:	702-567-9985

Provider Business Practice Location Address
First Line	:	3017 W CHARLESTON BLVD
Second Line	:	SUITE 12
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1941
Country	:	US
Telephone Number	:	702-567-9980
Fax Number	:	702-567-9985

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL FITTING KARAGIOZIS
Credential	:	DO
Telephone Number	:	702-567-9980

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	05/22/2008

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