Individual
MIGUEL KARACUSCHANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D15462
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053061100
—
MD
01
—
111923482
RAILROAD MEDICARE #
MD
01
—
4745M
CAREFIRST MARYALND #
MD
01
—
T143
BLUE CHOICE #
MD
Enumeration date
08/29/2006
Last updated
05/12/2008
Update your record
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