Provider Demographics
NPI:1871533265
Name:RAVINDRA KARMARKAR, MD, SC
Entity type:Organization
Organization Name:RAVINDRA KARMARKAR, MD, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAVINDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARMARKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:262-236-0316
Mailing Address - Street 1:11625 N RIVERLAND RD
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-2736
Mailing Address - Country:US
Mailing Address - Phone:262-236-1316
Mailing Address - Fax:262-236-0065
Practice Address - Street 1:11625 N RIVERLAND RD
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-2736
Practice Address - Country:US
Practice Address - Phone:262-236-1316
Practice Address - Fax:262-236-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty