Individual
DR. KEITH CARAMELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHSYCHIATRIST
Contact information
Practice address
3101 S AUSTIN AVE, GEORGETOWN, TX 78626-7541
(512) 440-4800
(512) 440-4835
Mailing address
1407 W STASSNEY LN, AUSTIN, TX 78745-2947
(512) 440-4800
(512) 440-4835
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
J1596
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139085815
—
TX
01
—
849176
BCBS
TX
Enumeration date
01/17/2007
Last updated
02/24/2017
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