Healthcare Provider Details

I. General information

NPI: 1669664603
Provider Name (Legal Business Name): KAREEM I. BOHSALI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 SE MAGNOLIA AVE. EXT.
OCALA FL
34471-4443
US

IV. Provider business mailing address

1490 SE MAGNOLIA AVE
OCALA FL
34471
US

V. Phone/Fax

Practice location:
  • Phone: 352-671-4221
  • Fax:
Mailing address:
  • Phone: 352-671-4221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number97535
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME114311
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101284252
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberME 114311
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: