Provider Demographics
NPI:1316515919
Name:KARIM, LEYLA (OD)
Entity type:Individual
Prefix:DR
First Name:LEYLA
Middle Name:
Last Name:KARIM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 CIVIC CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4319
Mailing Address - Country:US
Mailing Address - Phone:617-355-6000
Mailing Address - Fax:267-425-9552
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:215-590-2791
Practice Address - Fax:267-425-9552
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00726500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty