Healthcare Provider Details

I. General information

NPI: 1629944897
Provider Name (Legal Business Name): ABDUL KAREEM JOUDI BA, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: KAREEM JOUDI BA, MD

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S BASCOM AVE
SAN JOSE CA
95128-2699
US

IV. Provider business mailing address

107 PARKHAVEN DR
DANVILLE CA
94506-1318
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-5000
  • Fax:
Mailing address:
  • Phone: 925-997-4564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: