Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 55533 | GA |
NPI | 1104832906 |
---|---|
Provider Name | Dr. Spero G Karas |
First Address | Atlanta, GA 30345-3898 |
Second Address | Atlanta, GA 30329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89126R4 | (05) | GA |
H06066 | (02) | GA |