Basic Information
| Provider Information | |||||||||
| NPI: | 1841583200 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KAROUB HOSPITAL SERVICES PLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4045 W 13 MILE RD | ||||||||
| Address2: | |||||||||
| City: | ROYAL OAK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480736640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2482882160 | ||||||||
| FaxNumber: | 2482880783 | ||||||||
| Practice Location | |||||||||
| Address1: | 4045 W 13 MILE RD | ||||||||
| Address2: | |||||||||
| City: | ROYAL OAK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480736640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2482882160 | ||||||||
| FaxNumber: | 2482880783 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2011 | ||||||||
| LastUpdateDate: | 06/14/2011 | ||||||||
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| AuthorizedOfficialLastName: | KAROUB | ||||||||
| AuthorizedOfficialFirstName: | FREDERICK | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 2482882160 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 4301059587 | MI | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.