Provider Demographics
NPI:1750339545
Name:EMERICK, KARAN MCBRIDE (MD)
Entity type:Individual
Prefix:DR
First Name:KARAN
Middle Name:MCBRIDE
Last Name:EMERICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KARAN
Other - Middle Name:ELIZABETH
Other - Last Name:MCBRIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:282 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106
Mailing Address - Country:US
Mailing Address - Phone:860-545-9560
Mailing Address - Fax:860-545-9561
Practice Address - Street 1:282 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-545-9560
Practice Address - Fax:860-545-9560
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0443152080T0004X, 2080P0206X
IL0360984422080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No2080T0004XAllopathic & Osteopathic PhysiciansPediatricsPediatric Transplant Hepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036098442Medicaid
CTBE8311920OtherDEA
ILBE8311920OtherDEA
IL036098442Medicaid
ILBE8311920OtherDEA
CTG47461Medicare UPIN