Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 4301047463 | MI |
NPI | 1174560668 |
---|---|
Provider Name | Peter P. Karpawich |
First Address | Detroit, MI 48201-2153 |
Second Address | Detroit, MI 48201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 19/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
410069510 | (05) | MI |
700H262280 | BLUE CROSS-BLUE CROSS (01) | |
B48362 | (02) | |
PK047463 | CHAMPUS-CHAMPUS (01) | |
PK047463 | COMMERCIAL-COMMERCIAL NUMBER (01) |