Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 4301109319 | MI |
N | 207R00000X | Internist | 2013020101 | MO |
N | 111NI0900X | Internist | 2013020101 | MO |
N | 207R00000X | Internist | 4301109319 | MI |
N | 111NI0900X | Internist | 4301109319 | MI |
NPI | 1144669391 |
---|---|
Provider Name | Keerthi Rekha Karamched |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Northville, MI 48168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 19/12/2018 |