Karellas, Michael Emmanuel

Karellas, Michael Emmanuel is an individual health care provider with primary practice located at 800 Howard Ave , New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Karellas, Michael Emmanuel can be contacted via phone (203) 737-6959.

Contact Information

Primary practice address
800 Howard Ave New Haven CT 06519-1369
Phone: (203) 737-6959
Fax: (203) 785-4043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 60 241182 New York
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA08557100 New Jersey
Allopathic & Osteopathic Physicians / Urology 208800000X 055043 Connecticut

Profile Details

NPI number 1376671396
LBN Legal business name Karellas, Michael Emmanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jun 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376671396 NPPES
New Jersey MEDICAID 0199770
New Jersey Other P00944510

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