Individual
MIGUEL KARACUSCHANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E 33RD ST, SUITE # 640, BALTIMORE, MD 21218-3322
(410) 366-4441
Mailing address
200 E 33RD ST, SUITE # 640, BALTIMORE, MD 21218-3322
(410) 366-4441
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
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