MEDICARE: DR. GLORIA AL KARAKI 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	207L00000X	Anesthesiology Physician	3015565	MA

General Provider Information

NPI Number	:	1912745787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLORIA AL KARAKI MD

Provider Business Mailing Address
First Line	:	35 S HUNTINGTON AVE UNIT 602
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4787
Country	:	US
Telephone Number	:	617-834-1474
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 S HUNTINGTON AVE UNIT 602
Second Line	:
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-4787
Country	:	US
Telephone Number	:	617-834-1474
Fax Number	:

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

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	07/17/2024

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