Provider Demographics
NPI:1447273586
Name:KARASSI, MALEK S (MD)
Entity type:Individual
Prefix:MR
First Name:MALEK
Middle Name:S
Last Name:KARASSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 361627
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35236-1627
Mailing Address - Country:US
Mailing Address - Phone:205-787-2669
Mailing Address - Fax:205-787-2865
Practice Address - Street 1:817 PRINCETON AVE. SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211
Practice Address - Country:US
Practice Address - Phone:205-787-2669
Practice Address - Fax:205-787-2865
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21830207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G06561Medicare UPIN
ALG06561Medicare UPIN
AL51503415Medicare PIN
0515-03415Medicare ID - Type Unspecified