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Blog/Destination Health Hub
Destination Health Hub

Travel Health Guide: United Arab Emirates (UAE) — Dubai, Abu Dhabi, Extreme Heat, Strict Medication Rules, and What Most US Travelers Get Wrong

MK
Mark Karam, PA-C
·18 min read
destination guideUnited Arab EmiratesDubaiAbu Dhabiheat illnessmedication importMERS-CoVtravel vaccines
Quick Answer

A physician associate's travel health guide to the UAE. Dubai and Abu Dhabi heat, MoHAP medication import rules (Adderall, codeine, tramadol), MERS-CoV camel contact, vaccines, and what most US travelers miss.

The United Arab Emirates is one of the safest, lowest-infectious-disease destinations a US traveler will visit, but it carries three risks Americans routinely underestimate: extreme summer heat that pushes daytime temperatures to 113 to 122°F (45 to 50°C) with coastal humidity above 80 percent, the most aggressively enforced medication import rules of any major US-traveler destination (Adderall, Vyvanse, Ritalin, tramadol, codeine, modafinil, and CBD all require Ministry of Health and Prevention pre-approval and travelers are prosecuted for arriving without it), and MERS-CoV, which still circulates in dromedary camels across the Arabian Peninsula. CDC requires no vaccines for entry from the US, but recommends routine vaccines plus Hepatitis A and B for nearly all travelers, with selective Typhoid and Rabies based on itinerary. Travelers continuing on Hajj or Umrah to Saudi Arabia need the quadrivalent meningococcal ACWY vaccine. The single most important thing you can do before a UAE trip is verify every prescription you carry through the MoHAP eDrug portal and apply for an electronic import permit if any of your medications are on the controlled list.

Why the UAE is its own travel-health category

In my emergency and urgent care experience, the calls and follow-ups I see from US travelers returning from the UAE almost never look like the ones from Africa, South Asia, or Southeast Asia. The tap water in Dubai and Abu Dhabi is desalinated and chlorinated. The major hotels, malls, and restaurants are inspected. The hospitals (Cleveland Clinic Abu Dhabi, Sheikh Khalifa Medical City, Mediclinic City, American Hospital Dubai, NMC Royal) are JCI-accredited and often staffed by US, UK, and Western European physicians.

What I do see, and what I want US travelers to plan around, is a different set of risks: heat exhaustion and heat stroke on a desert safari or a mid-day walking tour at the Burj Khalifa, customs detention over a prescription bottle that would not raise an eyebrow at a Walgreens, MERS-CoV exposure from a camel-encounter tour, and the occasional respiratory illness from a Shamal dust storm. This guide is built around those realities, plus the routine destination-guide layers (vaccines, food and water, region-by-region risk, healthcare access, insurance) so you can use the same checklist whether you are stopping in Dubai for 48 hours on the way to the Maldives or basing yourself in Abu Dhabi for a two-week business trip.

Vaccines for the UAE: what CDC actually recommends

The UAE requires no vaccines for entry from the United States. The yellow fever requirement applies only if you are arriving from or transiting through a country with risk of yellow fever transmission, which means safari travelers connecting through Dubai or Abu Dhabi from Kenya, Tanzania, Uganda, Rwanda, Ghana, Ethiopia, or the Amazon Basin must carry a valid International Certificate of Vaccination (the yellow card). Direct travel from the US does not trigger the requirement.

CDC recommends the following for most US travelers to the UAE:

  • Routine vaccines: MMR, Tdap, polio, varicella, annual influenza, and a current COVID-19 vaccine. Verify your MMR status in particular. The Middle East and connecting hubs have seen measles activity, and the UK lost its WHO measles elimination status in January 2026 after 477 confirmed cases in the first four months of the year per UKHSA. Anyone born after 1957 should confirm two documented doses.
  • Hepatitis A: Recommended for nearly all travelers. The two-dose Havrix or Vaqta series provides long-term protection but a single dose works on short notice (protection begins about two weeks post-injection).
  • Hepatitis B: Recommended for travelers who may have sexual contact with new partners, receive medical or dental care, get tattoos or piercings, or stay longer than six months. The Heplisav-B two-dose series completes in one month.
  • Typhoid: Selective. Recommended if you will eat outside major hotels and chain restaurants, visit smaller emirates (Fujairah, Ras Al Khaimah villages, the Hatta enclave), or extend onward to South Asia or Africa. Oral Vivotif (4 capsules over 7 days) or injectable Typhim Vi (single dose, 2 weeks lead time).
  • Rabies: Selective. Consider pre-exposure if you plan extensive desert activities with potential animal contact, will work with animals, or are continuing to South Asia or Africa where post-exposure access is harder. The two-dose intramuscular series (Day 0, Day 7) is the current schedule.
  • Polio: Adults who completed a primary series in childhood need a one-time IPV booster if they will visit any country on the CDC's polio Vaccine-Derived Poliovirus (VDPV) watch list. The Arabian Peninsula has shown intermittent vaccine-derived poliovirus surveillance signals in connecting travelers from Pakistan and Afghanistan.
  • Meningococcal (ACWY): Required by the Government of Saudi Arabia for Hajj and Umrah pilgrims. If your itinerary includes onward travel to Mecca or Medina, you need a quadrivalent ACWY vaccine administered between 10 days and 3 years before arrival in KSA. Many US travelers stopping in Dubai before Umrah do not realize this is a Saudi entry requirement, not a UAE one. Plan it before you leave the US.

For a deeper dive into any of these, see our Travel Vaccines Guide. Wandr's vaccine workflow is fast: pick a Walgreens location and a date, and the pharmacist administers your travel vaccines on-site. Book a travel vaccine appointment.

The medication import question (this is where the trouble starts)

The UAE has one of the most enforced controlled-substance import regimes among major US-traveler destinations. Travelers from the US, UK, EU, and Canada have been detained at Dubai International Airport (DXB) over medications that are unremarkable at home. Cases involving Adderall, Vyvanse, codeine-containing cough syrups, tramadol, and CBD oil are documented in US Embassy travel notices going back more than a decade and continue to occur in 2026.

The governing authority is the UAE Ministry of Health and Prevention (MoHAP). MoHAP maintains a published controlled and semi-controlled medicines list and a centralized electronic permit portal (the eDrug system) where travelers must apply for advance approval before flying with any listed product.

Categories to know

  • Controlled (Schedule I/II analogs): Amphetamine and methylphenidate stimulants (Adderall, Vyvanse, Ritalin, Concerta, Focalin, Dexedrine), strong opioids (oxycodone, hydromorphone, fentanyl patches, morphine), benzodiazepines (alprazolam, clonazepam, diazepam, lorazepam), modafinil and armodafinil, certain sleep aids, and codeine-containing products in any concentration including OTC US codeine cough syrups.
  • Semi-controlled (Schedule III/IV analogs): Tramadol, pregabalin (Lyrica), gabapentin in some formulations, certain anti-nausea drugs, and select migraine medications.
  • Controlled non-narcotic: CBD products of any concentration are prohibited unless specifically authorized. UAE law historically treated CBD as a narcotic and recent reforms have not opened a personal-import exception in the way some travelers assume. Do not bring CBD oil, CBD gummies, CBD topicals, or hemp-derived products in any form.

What you actually have to do

  1. At least 60 days before travel, check every prescription and every OTC product in your travel kit against the current MoHAP controlled and semi-controlled list. The list is updated. Do not rely on a forum post from 2023.
  2. Submit an eDrug import permit through the MoHAP portal. Upload a current prescription, a clinician letter on letterhead listing each medication, dose, indication, and quantity, and your passport. The permit covers a defined supply window and is tied to your passport.
  3. Carry every medication in its original pharmacy bottle with the label intact. Do not consolidate into a daily pill organizer. Customs officers can and do ask for original packaging.
  4. Print the eDrug permit and the clinician letter and carry both in your carry-on with the medications. A screenshot is not adequate.
  5. Declare on arrival when asked. Failure to declare a controlled or semi-controlled medication is treated as smuggling, not a paperwork error, and the penalty range starts at detention and goes up to prosecution under the Federal Anti-Narcotic Law.

For maintenance medications that are NOT on the controlled list (most antihypertensives, statins, SSRIs, oral contraceptives, asthma inhalers, antibiotics, insulin), the rules are simpler: carry in original pharmacy bottles, with a clinician letter for any controlled-substance-adjacent medication, and a 90-day supply maximum.

If your home medication is on the prohibited list and an eDrug permit is denied, talk to your clinician about alternatives in the same class that are not controlled in the UAE before you cancel the trip. In my practice, that conversation is faster and more productive than most patients expect.

Heat illness: the most common reason US travelers end up in a Dubai ER

Between June and September, daytime temperatures in Dubai and Abu Dhabi routinely exceed 113°F (45°C) with coastal humidity above 80 percent. The interior desert (Liwa, Al Ain in the afternoon, the Empty Quarter, Hatta) regularly registers 122°F (50°C) on shaded thermometers and higher in direct sun. Even shoulder season (April, May, October, November) frequently runs 95 to 105°F (35 to 40°C) at midday.

The clinical hierarchy I want every traveler to know:

  • Heat cramps: painful muscle spasms during or after exertion. Treat with rest in shade, oral rehydration salts, and salty food.
  • Heat exhaustion: heavy sweating, weakness, headache, nausea, dizziness, core temperature 100.4 to 104°F (38 to 40°C), normal mental status. Treat aggressively (cooling, hydration, shade, AC) before it escalates.
  • Heat stroke: core temperature above 104°F (40°C), altered mental status, possible loss of sweating, possible loss of consciousness. This is a medical emergency. Call 998 (UAE ambulance) immediately. Begin external cooling (cool water, ice packs to neck/axilla/groin, fan) while waiting.

In summer, my practical guidance to UAE-bound travelers is straightforward. Do all outdoor activity (desert safari, dune bashing, Burj Khalifa observation deck queue, Old Dubai walking tour, Sheikh Zayed Grand Mosque visit) before 9 a.m. or after 5 p.m. Plan one liter of water per hour of outdoor exposure, with electrolyte tablets or oral rehydration salts added to half of it. Wear loose, light-colored, long-sleeved clothing. Use a wide-brimmed hat. Reapply broad-spectrum SPF 50 sunscreen every two hours. Take air-conditioned breaks every 30 to 45 minutes.

Travelers with cardiovascular disease, diabetes, kidney disease, on diuretics or ACE inhibitors, or pregnant should be especially conservative. The combination of heat, dehydration, and a long-haul flight raises baseline cardiovascular and clot risk.

MERS-CoV and the camel question

Middle East Respiratory Syndrome Coronavirus (MERS-CoV) was first identified in 2012 in Saudi Arabia and has remained endemic in dromedary camel populations across the Arabian Peninsula. Sporadic human cases continue. CDC and WHO categorize most travelers as low risk, but US travelers who book camel-interaction experiences (camel farm visits, camel milk tastings, camel races, riding tours in the Al Marmoom Desert Conservation Reserve) move into a different bracket.

What I tell patients:

  • Avoid direct contact with dromedary camels, especially nose-to-nose contact and contact with secretions (saliva, nasal discharge, feces).
  • Do not consume raw or unpasteurized camel milk or undercooked camel meat. Both are documented MERS-CoV transmission routes.
  • Wash hands thoroughly with soap and water (or alcohol-based hand sanitizer) after any animal contact, including a touristic photo with a camel.
  • If you develop fever, cough, or shortness of breath within 14 days of camel contact, seek medical evaluation immediately and tell the clinician about the exposure.

The general traveler taking a sunset desert safari at a major tour operator (Platinum Heritage, Arabian Adventures, OceanAir Travels) and posing with a camel for 60 seconds is at very low risk. The risk profile increases with the duration and intimacy of the contact and with consumption of raw camel products.

Food, water, and stomach: low risk, real exceptions

Tap water in Dubai and Abu Dhabi is desalinated and chlorinated to WHO drinking-water standards. Most residents drink bottled or filtered water by preference, not necessity. Ice in major hotels and chain restaurants is made from filtered water. Traveler's diarrhea risk in the major emirates is low compared to neighbors, but not zero.

Where I see TD in returning UAE travelers:

  • Street food and small independent restaurants in the older quarters of Dubai (Deira, Bur Dubai), Sharjah, Ajman, and the northern emirates.
  • Raw seafood at fish markets (Waterfront Market, Deira Fish Market) consumed at adjacent grills.
  • Buffet brunches (a Dubai institution) where dishes sit on heated trays for hours.
  • Smaller cafes and shawarma stands in the older emirates with high turnover but variable hand-hygiene practices.

For first-line management, our traveler's diarrhea complete guide and Pepto-Bismol vs Imodium cover the framework. For severe or febrile TD (high fever, bloody stool, dehydration, persistent vomiting), the antibiotic question matters: see Cipro vs Azithromycin and consider carrying a single self-treatment course of azithromycin (preferred for the Middle East given fluoroquinolone resistance patterns). Our clinicians can call a self-treatment prescription in to your local pharmacy for pickup before you fly.

Dust storms, air quality, and respiratory health

Shamal winds (northwesterly seasonal winds) drive dust storms across the UAE primarily from June through September, with secondary peaks in March and April. PM10 readings during a moderate storm regularly exceed 500 micrograms per cubic meter and have been recorded above 1,000 during severe haboob events. The WHO 24-hour PM10 guideline is 45 micrograms per cubic meter.

For travelers with asthma, COPD, or known reactive airway disease, this matters. Carry rescue inhalers (albuterol) and any maintenance inhaler in original packaging. Consider an N95 or KN95 mask for outdoor exposure during dust events. Pregnant travelers, infants, and elderly travelers with cardiopulmonary disease should follow the same guidance. The UAE National Center of Meteorology (NCM) publishes daily air quality and dust advisories.

If you take a desert safari during a dust event, the tour operator may delay or reroute. Take their guidance seriously.

Region-by-region: what to plan for

Dubai (city core, Marina, Downtown, Palm Jumeirah, JBR, Old Dubai) is low infectious disease risk, high heat risk, and the highest concentration of medication-import enforcement at DXB. Hospitals (Mediclinic City, American Hospital Dubai, NMC Royal, Saudi German, Mohammed Bin Rashid University Hospital) are excellent.

Abu Dhabi (city core, Yas Island, Saadiyat Island, Corniche) mirrors Dubai for infectious disease but has Cleveland Clinic Abu Dhabi as the regional gold standard for complex care. The Sheikh Zayed Grand Mosque and Louvre Abu Dhabi visits are heat-exposure events in summer. Plan early morning slots.

Al Ain (eastern Abu Dhabi emirate, the "Garden City") has the same medical infrastructure as Abu Dhabi proper but higher daytime temperatures and the famous camel market (Al Ain Camel Market). Apply the MERS-CoV precautions above.

Sharjah, Ajman, Umm Al Quwain (Northern Emirates) share Dubai's safety profile but have a higher concentration of older, locally owned restaurants where TD risk is slightly elevated.

Ras Al Khaimah (RAK) is the hiking and mountain emirate. Jebel Jais is the highest peak in the UAE at 1,934 meters (no altitude sickness concern). The microclimate is cooler than Dubai but still hot in summer. Watch for snake and scorpion encounters on trails (Arabian horned viper, deathstalker scorpion). Wear closed-toe boots, do not put hands or feet under rocks, and shake out boots in the morning.

Fujairah (East Coast on the Gulf of Oman) is the diving and snorkel emirate. Watch for jellyfish, lionfish, sea urchins, and stonefish on rocky shorelines. Marine envenomations are the most common reason I see for emergency calls from this coast.

Liwa Desert and the Empty Quarter (Rub' al Khali) are extreme heat and remote-medicine environments. Travel with a permitted, experienced operator. Heat stroke and dehydration are the operational risks.

Healthcare access in the UAE

The UAE has built one of the highest-quality private medical systems in the region. The Joint Commission International (JCI) has accredited dozens of UAE hospitals and clinics, including Cleveland Clinic Abu Dhabi, Sheikh Khalifa Medical City, Mediclinic City Hospital Dubai, American Hospital Dubai, NMC Royal Khalifa, and the Saudi German Hospital. Most major hospitals operate 24/7 emergency departments with English-speaking physicians.

Emergency numbers: 998 (ambulance), 999 (police), 997 (fire). The Dubai Health Authority (DHA) also operates a 24/7 medical hotline at 800 342.

Pharmacies (Aster, BinSina, Life Pharmacy, Boots, Marina Pharmacy) are abundant. Most chain stores stock the same first-line OTC analgesics, oral rehydration salts, loperamide, topical antifungals, and antihistamines as US drugstores, with brand-name differences. Many medications that are prescription-only in the US (some antibiotics, certain anti-nausea drugs, topical steroids) are available OTC. Common controlled substances (Adderall, codeine, tramadol) are not dispensed without UAE physician prescription.

US health insurance generally does not cover care in the UAE. Medicare and most ACA-marketplace plans terminate at the US border. A travel insurance policy with at least $100,000 in medical coverage and $250,000 in emergency medical evacuation is reasonable for a UAE-anchored Middle East itinerary. Our travel insurance primer covers the framework.

The 13- to 14-hour flight, jet lag, and DVT

Non-stop flights from JFK, IAD, ORD, SFO, LAX, BOS, DFW, IAH, ATL, and SEA to DXB or AUH run 13 to 16 hours. The deep-vein thrombosis and pulmonary embolism risk on a flight this long is small in absolute terms but real, especially for travelers with personal or family history of clotting disorders, recent surgery, hormonal contraception, pregnancy, obesity, or known thrombophilia.

Our DVT prevention guide covers the full protocol. The short version: calf-stretches every 1 to 2 hours, an aisle seat with a planned schedule of walking, knee-high compression stockings (15 to 20 mmHg for low risk, 20 to 30 mmHg for moderate risk), hydration with water (not alcohol or coffee), and a discussion with your clinician about prophylactic enoxaparin if you carry a high-risk profile.

Jet lag from the 8- to 11-hour time zone shift is real. Our jet lag physician's guide covers melatonin timing, light exposure, and the role of short-acting sleep aids on the outbound leg. Most prescription sleep aids (zolpidem, eszopiclone) are controlled in the UAE; if you carry one, the eDrug permit and clinician letter rules above apply.

Pre-trip checklist (90, 60, 30, and 7 days out)

90 days out: Check passport validity (6 months past your travel dates). Confirm routine vaccines (MMR, Tdap, polio, varicella, COVID, flu) are up to date. Schedule Hepatitis A and B series if not already complete. Review every prescription and OTC product against the current MoHAP controlled and semi-controlled list. Start a MoHAP eDrug permit application if any of your medications are listed.

60 days out: If your itinerary includes onward Hajj or Umrah to Saudi Arabia, get the quadrivalent meningococcal ACWY vaccine (must be administered between 10 days and 3 years before KSA arrival). Schedule typhoid and rabies pre-exposure if your itinerary calls for them. Book travel insurance.

30 days out: Refill all maintenance medications in original pharmacy bottles. Print MoHAP eDrug permit. Get clinician letter (within 6 months of travel, on letterhead, listing medication, dose, and quantity). Purchase SPF 50 broad-spectrum sunscreen, electrolyte tablets, and a refillable insulated water bottle. Confirm vaccine appointments at your Walgreens (Wandr can book the appointment for you).

7 days out: Confirm desert safari, brunch, and observation deck reservations. Download the NCM weather app for daily dust and heat advisories. Set up your eSIM or local SIM. Confirm hotel cancellation policy. Pack medications and documentation in your carry-on. Recheck the MoHAP eDrug permit and clinician letter are physically printed.

FAQ

Do I need any vaccines to enter the UAE from the US? No vaccines are required for entry directly from the US. A yellow fever certificate is required only if you are arriving from a country with risk of yellow fever transmission. CDC recommends routine vaccines plus Hepatitis A and B for nearly all travelers.

Can I bring my Adderall, Vyvanse, or Ritalin to the UAE? Only with a Ministry of Health and Prevention (MoHAP) eDrug permit issued before you fly, the original pharmacy bottle, and a clinician letter on letterhead listing the medication, dose, indication, and quantity. Apply at least 30 to 60 days before travel. Pack everything in your carry-on. Failure to declare a controlled medication at customs is treated as a smuggling offense, not a paperwork error.

Is CBD legal in the UAE? No. CBD products of any concentration are prohibited unless specifically authorized through the controlled-medicines pathway, which is almost never granted for personal use. Do not bring CBD oil, gummies, topicals, or hemp-derived products in any form.

Do I need malaria pills for the UAE? No. The UAE has no malaria transmission. If your itinerary extends to Oman, Yemen, parts of Saudi Arabia, or onward to East Africa or South Asia, the answer may change. See our Do I Need Malaria Pills guide.

Can I drink the tap water in Dubai and Abu Dhabi? Yes. UAE tap water in the major emirates is desalinated and chlorinated to WHO drinking-water standards. Most residents drink bottled or filtered water by preference, not necessity.

What is the best way to handle the summer heat in Dubai? Do outdoor activity before 9 a.m. or after 5 p.m. Drink one liter of water per hour of outdoor exposure with electrolyte supplementation. Wear loose, light-colored, long-sleeved clothing and a wide-brimmed hat. Use SPF 50 broad-spectrum sunscreen reapplied every two hours. Take air-conditioned breaks every 30 to 45 minutes. Recognize the difference between heat exhaustion (treat aggressively) and heat stroke (call 998).

Do I need to worry about MERS-CoV on a typical Dubai trip? For a city-only itinerary, no meaningful risk. For travelers who book camel-interaction experiences, camel farm visits, or camel milk tastings, avoid nose-to-nose contact, do not consume raw camel milk or undercooked camel meat, wash hands after any animal contact, and seek medical evaluation for any fever, cough, or shortness of breath within 14 days of exposure.

Do I need a meningococcal vaccine for the UAE? Not for the UAE itself. If your itinerary continues to Saudi Arabia for Hajj or Umrah, the quadrivalent ACWY vaccine is required by the Government of Saudi Arabia, administered between 10 days and 3 years before KSA arrival.

What is the emergency number in the UAE? 998 for ambulance, 999 for police, 997 for fire. The Dubai Health Authority operates a 24/7 medical hotline at 800 342.

Do I need travel insurance for the UAE? Yes. US health insurance, Medicare, and most ACA-marketplace plans do not cover care in the UAE. A travel insurance policy with at least $100,000 in medical coverage and $250,000 in emergency medical evacuation is reasonable for a UAE-anchored Middle East itinerary.

Are scorpions and snakes a real concern in the UAE? Mostly in hiking and desert environments outside the city core (Hajar Mountains in RAK, Hatta, Liwa, the Empty Quarter). The Arabian horned viper and deathstalker scorpion are present. Wear closed-toe boots, do not place hands or feet under rocks, shake out shoes in the morning. Antivenom is available at major hospitals.

Sources

  • CDC Yellow Book 2026, Middle East and North Africa chapter
  • CDC Traveler's Health: United Arab Emirates: https://wwwnc.cdc.gov/travel/destinations/traveler/none/united-arab-emirates
  • UAE Ministry of Health and Prevention (MoHAP), Controlled and Semi-Controlled Medicines List and eDrug Personal Import Portal: https://mohap.gov.ae
  • UAE Federal Authority for Identity, Citizenship, Customs and Port Security (ICP): https://icp.gov.ae
  • US Embassy in the UAE, Customs Information for Travelers (controlled medications warning): https://ae.usembassy.gov
  • US Department of State, UAE International Travel Information: https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/UnitedArabEmirates.html
  • WHO MERS-CoV Fact Sheet: https://www.who.int/news-room/fact-sheets/detail/middle-east-respiratory-syndrome-coronavirus-(mers-cov)
  • WHO MERS-CoV Situation Updates (Eastern Mediterranean Region): https://www.emro.who.int/health-topics/mers-cov
  • CDC MERS-CoV for Travelers: https://wwwnc.cdc.gov/travel/diseases/mers
  • Government of Saudi Arabia, Hajj and Umrah Health Requirements (meningococcal ACWY): https://www.moh.gov.sa
  • UAE National Center of Meteorology (NCM), Daily Air Quality and Dust Advisories: https://www.ncm.gov.ae
  • Dubai Health Authority (DHA), Emergency Services and Hospital Network: https://www.dha.gov.ae
  • Department of Health Abu Dhabi (DOH), Healthcare Provider Directory: https://www.doh.gov.ae
  • WHO Air Quality Guidelines (2021), PM2.5 and PM10 24-hour limits
  • ACIP Recommended Adult Immunization Schedule (US), 2026
  • IATA Travel Centre, UAE Yellow Fever and Entry Requirements
  • UKHSA Measles Surveillance Report (2025-2026), UK loss of WHO elimination status January 2026
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Written by
Mark Karam, PA-C

Mark Karam, PA-C is a board-certified Physician Associate with emergency and urgent care experience and co-founder of Wandr Health.

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