Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD 432986 | PA |
N | 208200000X | Surgeon | 01076355A | IN |
N | 208600000X | Surgeon | 01076355A | IN |
N | 208200000X | Surgeon | 13552 | ND |
N | 208600000X | Surgeon | 13552 | ND |
Y | 208200000X | Surgeon | MD60847093 | WA |
Y | 208600000X | Surgeon | MD60847093 | WA |
NPI | 1053592055 |
---|---|
Provider Name | Dr. Philip M Karuman |
First Address | Pasco, WA 99301-5257 |
Second Address | Pasco, WA 99301-5292 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2007 |
Last Update Date | 04/08/2020 |