Provider Demographics
NPI:1699132894
Name:LADAK, KARIM (MB, BCH, BAO)
Entity type:Individual
Prefix:MR
First Name:KARIM
Middle Name:
Last Name:LADAK
Suffix:
Gender:M
Credentials:MB, BCH, BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 EAST 70TH STREET
Mailing Address - Street 2:HOSPITAL FOR SPECIAL SURGERY, ACADEMIC TRAINING DEPARTM
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-744-2132
Mailing Address - Fax:646-797-8905
Practice Address - Street 1:535 EAST 70TH STREET
Practice Address - Street 2:HOSPITAL FOR SPECIAL SURGERY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-744-2132
Practice Address - Fax:646-797-8905
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2016-10-06
Deactivation Date:2016-09-12
Deactivation Code:
Reactivation Date:2016-10-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program