Healthcare Provider Details

I. General information

NPI: 1407116205
Provider Name (Legal Business Name): KAREEM HAMDY BEDEIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1855 SPRING HILL AVE
MOBILE AL
36607-2301
US

IV. Provider business mailing address

1855 SPRING HILL AVE
MOBILE AL
36607-2301
US

V. Phone/Fax

Practice location:
  • Phone: 251-471-3544
  • Fax:
Mailing address:
  • Phone: 251-471-3544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number40928
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number40928
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: