Provider Demographics
NPI:1699241489
Name:ABDELKARIM MEDICAL CORPORATION
Entity type:Organization
Organization Name:ABDELKARIM MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BASIM
Authorized Official - Middle Name:ZUHDI
Authorized Official - Last Name:ABDELKARIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-920-0444
Mailing Address - Street 1:2460 PASEO VERDE PKWY STE 145
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7142
Mailing Address - Country:US
Mailing Address - Phone:702-820-5713
Mailing Address - Fax:702-820-5713
Practice Address - Street 1:140 HIDDEN VALLEY PKWY STE L
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-4000
Practice Address - Country:US
Practice Address - Phone:951-280-9007
Practice Address - Fax:951-905-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty