Provider Demographics
NPI:1316258353
Name:FIKRY, KARIM S (MBBCH)
Entity type:Individual
Prefix:
First Name:KARIM
Middle Name:S
Last Name:FIKRY
Suffix:
Gender:M
Credentials:MBBCH
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:LAHEY MEDICAL CENTER, PEABODY
Mailing Address - Street 2:1 ESSEX CENTER DRIVE
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2901
Mailing Address - Country:US
Mailing Address - Phone:978-977-6336
Mailing Address - Fax:978-538-4711
Practice Address - Street 1:LAHEY MEDICAL CENTER, PEABODY
Practice Address - Street 2:1 ESSEX CENTER DRIVE
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2901
Practice Address - Country:US
Practice Address - Phone:978-977-6336
Practice Address - Fax:978-538-4711
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2015-07-16
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAL-243200208600000X
MA257582207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery