Healthcare Provider Details
I. General information
NPI: 1346534419
Provider Name (Legal Business Name): ALLMED CLINIC PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2011
Last Update Date: 01/19/2023
Certification Date: 01/19/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3708 FORESTVIEW RD STE 207
RALEIGH NC
27612-2391
US
IV. Provider business mailing address
3708 FORESTVIEW RD STE 207
RALEIGH NC
27612-2391
US
V. Phone/Fax
- Phone: 919-781-8780
- Fax: 919-781-8782
- Phone: 919-781-8780
- Fax: 919-781-8782
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZAKIYA
S
KARIM
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: MD
Phone: 910-644-4075