Provider Demographics
NPI:1336203975
Name:ABDULLAH, KARIM T (ND)
Entity type:Individual
Prefix:DR
First Name:KARIM
Middle Name:T
Last Name:ABDULLAH
Suffix:
Gender:M
Credentials:ND
Other - Prefix:MR
Other - First Name:KARIM
Other - Middle Name:T
Other - Last Name:ABDULLAH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:15455 SE 47TH PL
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-3268
Mailing Address - Country:US
Mailing Address - Phone:206-261-0505
Mailing Address - Fax:206-524-5054
Practice Address - Street 1:6300 9TH AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8515
Practice Address - Country:US
Practice Address - Phone:206-522-5646
Practice Address - Fax:206-524-5054
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002426171100000X
WANT00000767175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7920ABOtherREGENCE BLUE SHIELD RIDER
WA2426ABOtherREGENCE BLUE SHIELD RIDER
WA5096622OtherAETNA PROVIDER ID