Provider Demographics
NPI:1356337034
Name:KARIM, AQM (MD)
Entity type:Individual
Prefix:
First Name:AQM
Middle Name:
Last Name:KARIM
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 1:5901 W INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85033-2824
Mailing Address - Country:US
Mailing Address - Phone:623-846-1403
Mailing Address - Fax:623-247-6345
Practice Address - Street 1:5901 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-2824
Practice Address - Country:US
Practice Address - Phone:623-846-1403
Practice Address - Fax:623-247-6345
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ28548207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ529159Medicaid
AZ529159Medicaid
AZ66600Medicare ID - Type Unspecified