Provider Demographics
NPI:1326861014
Name:MOUBARIK, KARIMA (EDS)
Entity type:Individual
Prefix:MS
First Name:KARIMA
Middle Name:
Last Name:MOUBARIK
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 S HIGH SCHOOL RD # C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46241-3127
Mailing Address - Country:US
Mailing Address - Phone:317-640-3883
Mailing Address - Fax:
Practice Address - Street 1:8700 W 30TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46234-1658
Practice Address - Country:US
Practice Address - Phone:317-988-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10037898103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical