Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | LL16407 | OR |
N | 208600000X | Surgeon | LL16407 | OR |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 52453 | AZ |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A122317 | CA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | MD60170969 | WA |
NPI | 1053512186 |
---|---|
Provider Name | Dr. Tara Karamlou |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 24/05/2018 |