Provider Demographics
NPI:1164469102
Name:KARAZIM, JOHN J II (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:KARAZIM
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:290 CHESTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-3522
Mailing Address - Country:US
Mailing Address - Phone:248-535-9889
Mailing Address - Fax:877-992-4915
Practice Address - Street 1:290 CHESTERFIELD RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48304-3522
Practice Address - Country:US
Practice Address - Phone:248-649-2323
Practice Address - Fax:248-649-5998
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301040146207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104707311Medicaid
MI104707311Medicaid
E49511Medicare UPIN