Provider Demographics
NPI:1538695572
Name:MOASIS, KAREEM (MD)
Entity type:Individual
Prefix:
First Name:KAREEM
Middle Name:
Last Name:MOASIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 SYCAMORE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-7851
Mailing Address - Country:US
Mailing Address - Phone:760-691-1901
Mailing Address - Fax:760-691-1902
Practice Address - Street 1:906 SYCAMORE AVE STE 201
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-7851
Practice Address - Country:US
Practice Address - Phone:760-691-1901
Practice Address - Fax:760-691-1902
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV19849208M00000X, 207R00000X
CAA167456207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist