Provider Demographics
NPI:1174589154
Name:KARP, ROBERT ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALAN
Last Name:KARP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:ALAN
Other - Last Name:KARP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:930 S DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2701
Mailing Address - Country:US
Mailing Address - Phone:419-381-1881
Mailing Address - Fax:419-381-1967
Practice Address - Street 1:930 S DETROIT AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2701
Practice Address - Country:US
Practice Address - Phone:419-381-1881
Practice Address - Fax:419-389-1967
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350599262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0790229Medicaid
OHA11664Medicare UPIN
OH0790229Medicaid