Individual
DR. DEMETRIOS JOHN KARAMICHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
931 RIDGE RD STE C, MUNSTER, IN 46321-1756
(219) 595-3095
(219) 881-8776
Mailing address
931 RIDGE RD STE C, MUNSTER, IN 46321-1756
(219) 595-3095
(219) 881-8776
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
36093881
IL
207Q00000X
Family Medicine Physician
Primary
01064242A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093881
—
IL
01
—
P00468376
MEDICARE RAILROAD
IN
01
—
P00721116
MEDICARE RAILROAD
IL
Enumeration date
08/18/2005
Last updated
06/16/2020
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