Healthcare Provider Details

I. General information

NPI: 1053458315
Provider Name (Legal Business Name): KAROLYN K KABIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4808 MOORLAND LN STE 109
BETHESDA MD
20814-6131
US

IV. Provider business mailing address

4099 E 10TH AVE UNIT 309
DENVER CO
80220-3878
US

V. Phone/Fax

Practice location:
  • Phone: 301-654-9476
  • Fax: 301-654-1164
Mailing address:
  • Phone: 303-594-6165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number37716
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101272348
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number37716
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberD0091208
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number0101272348
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number37716
License Number StateCO
# 7
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101272348
License Number StateVA
# 8
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0091208
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: