MEDICARE: AHMED ABDELKARIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0008X	Oral and Maxillofacial Radiology Dentistry	61333110	WA

General Provider Information

NPI Number	:	1073239257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHMED ABDELKARIM

Provider Business Mailing Address
First Line	:	7733 LOUIS PASTEUR DR APT 109
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3449
Country	:	US
Telephone Number	:	808-725-9954
Fax Number	:

Provider Business Practice Location Address
First Line	:	7733 LOUIS PASTEUR DR APT 109
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3449
Country	:	US
Telephone Number	:	808-725-9954
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2022
Last Update Date	:	10/18/2022

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Directions to “ AHMED ABDELKARIM ” Practice Location

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