Provider Demographics
NPI:1801189030
Name:AL-TAHOU, KARIMA IBRAHIM
Entity type:Individual
Prefix:DR
First Name:KARIMA
Middle Name:IBRAHIM
Last Name:AL-TAHOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8530 JOSEPH CAMPAU ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3736
Mailing Address - Country:US
Mailing Address - Phone:313-581-2064
Mailing Address - Fax:313-581-3590
Practice Address - Street 1:8530 JOSEPH CAMPAU ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3736
Practice Address - Country:US
Practice Address - Phone:313-581-2064
Practice Address - Fax:313-581-3590
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301095328208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics