Provider Demographics
NPI:1215070289
Name:KARIM, NUZHAT (MD)
Entity type:Individual
Prefix:DR
First Name:NUZHAT
Middle Name:
Last Name:KARIM
Suffix:
Gender:F
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:P. O. BOX 128
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-0128
Mailing Address - Country:US
Mailing Address - Phone:732-821-5100
Mailing Address - Fax:732-940-1873
Practice Address - Street 1:3084 HWY 27
Practice Address - Street 2:SUITE# 5
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-0128
Practice Address - Country:US
Practice Address - Phone:732-821-5100
Practice Address - Fax:732-940-1873
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03590000207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0943100Medicaid
542276Medicare ID - Type Unspecified
NJ0943100Medicaid