Provider Demographics
NPI:1447633235
Name:TAWAGI, KARINE (MD)
Entity type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:TAWAGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5333 MCAULEY DRIVE SUITE 4001
Mailing Address - Street 2:ACADEMIC INTERNAL MEDICINE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48197
Mailing Address - Country:US
Mailing Address - Phone:734-712-3980
Mailing Address - Fax:
Practice Address - Street 1:1801 W TAYLOR ST STE 1E
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4795
Practice Address - Country:US
Practice Address - Phone:312-355-1625
Practice Address - Fax:312-355-1515
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI1447633235207R00000X
IL036162147207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine