Provider Demographics
NPI:1902965361
Name:DHANJI, AL-KARIM A (MD)
Entity Type:Individual
Prefix:
First Name:AL-KARIM
Middle Name:A
Last Name:DHANJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2318
Mailing Address - Country:US
Mailing Address - Phone:617-414-7779
Mailing Address - Fax:
Practice Address - Street 1:BOSTON HEALTH CARE FOR THE HOMELESS
Practice Address - Street 2:729 MASSACHUSETTS AVE.
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-414-7779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229166207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine