Provider Demographics
NPI:1215911441
Name:KAREEM, ASMA (MD)
Entity type:Individual
Prefix:DR
First Name:ASMA
Middle Name:
Last Name:KAREEM
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 1:262 NEW LUDLOW RD
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-4324
Mailing Address - Country:US
Mailing Address - Phone:413-552-3250
Mailing Address - Fax:413-420-0284
Practice Address - Street 1:262 NEW LUDLOW RD
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-4324
Practice Address - Country:US
Practice Address - Phone:413-552-3250
Practice Address - Fax:413-420-0284
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81155207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3165281Medicaid
G15482Medicare UPIN
MAA30384Medicare PIN
MA3165281Medicaid