Individual ProviderFrederick KaroubInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4045 W 13 Mile Rd, Suite A, Royal Oak, MI 48073-6640(248) 288-2160PECOS EnrollmentBased on the most recent information from CMS, provider Frederick Karoub is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1679554562Provider TypeIndividualFull NameKaroub, FrederickTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date11/8/2005Last Updated3/8/2022Contact InformationPractice LocationPractice Address4045 W 13 Mile Rd, Suite A, Royal Oak, MI 48073-6640Phone(248) 288-2160Fax(248) 288-0783Mailing LocationMailing Address4045 W 13 Mile Rd, Suite A, Royal Oak, MI 48073-6640Phone(248) 288-2160Fax(248) 288-0783Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4301059587MichiganProvider IdentifiersIDDescriptionIssuerID0930630DescriptionOtherIssuerBCBS INDMichiganID0930630DescriptionOtherIssuerBCN INDMichiganID1679554562DescriptionMedicaidIssuerUnlistedMichigan