Individual
DR. BASHAR KARAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7250 CLEARVISTA DR, SUITE 120, INDIANAPOLIS, IN 46256-4692
(317) 621-5676
(317) 621-5678
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061137A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01214634
RR MEDICARE PTAN
IN
Enumeration date
06/20/2005
Last updated
12/03/2014
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