Basic Information
Provider Information
NPI: 1174054654
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARA
FirstName: SUKRIYE
MiddleName: DAMLA
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 504 CLINTON CENTER DRIVE
Address2: CBO SUITE 4300
City: CLINTON
State: MS
PostalCode: 39056
CountryCode: US
TelephoneNumber: 6019845500
FaxNumber: 6019845503
Practice Location
Address1: 2550 FLOWOOD DR
Address2:  
City: FLOWOOD
State: MS
PostalCode: 392329303
CountryCode: US
TelephoneNumber: 6019845500
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/25/2017
LastUpdateDate: 11/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X28882MSY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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