Provider Demographics
NPI:1649590118
Name:EID, KAREEM RIAD MOSTAFA (MD)
Entity type:Individual
Prefix:DR
First Name:KAREEM
Middle Name:RIAD MOSTAFA
Last Name:EID
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 1:2525 HARBOR BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-5338
Mailing Address - Country:US
Mailing Address - Phone:941-235-9361
Mailing Address - Fax:941-235-9362
Practice Address - Street 1:2525 HARBOR BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-5338
Practice Address - Country:US
Practice Address - Phone:941-235-9361
Practice Address - Fax:941-235-9362
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME147368208600000X, 208600000X
OH127614204F00000X, 208600000X
TN62434208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No204F00000XAllopathic & Osteopathic PhysiciansTransplant SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108376600Medicaid