Provider Demographics
NPI:1245356849
Name:KARAM, GENE MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:MICHAEL
Last Name:KARAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 N 8TH STREET
Mailing Address - Street 2:PO DRAWER AD
Mailing Address - City:KINDER
Mailing Address - State:LA
Mailing Address - Zip Code:70648
Mailing Address - Country:US
Mailing Address - Phone:337-738-2547
Mailing Address - Fax:337-738-2548
Practice Address - Street 1:323 N 8TH STREET
Practice Address - Street 2:
Practice Address - City:KINDER
Practice Address - State:LA
Practice Address - Zip Code:70648
Practice Address - Country:US
Practice Address - Phone:337-738-2547
Practice Address - Fax:337-738-2548
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1816370Medicaid
GA070OtherBLUE CROSS