Healthcare Provider Details

I. General information

NPI: 1407119076
Provider Name (Legal Business Name): AZIM KARIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 03/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10021 MAIN ST SUITE B-1
HOUSTON TX
77025-5224
US

IV. Provider business mailing address

10019 MAIN ST SUITE A-1
HOUSTON TX
77025-5256
US

V. Phone/Fax

Practice location:
  • Phone: 713-797-6000
  • Fax: 713-797-9090
Mailing address:
  • Phone: 713-668-6000
  • Fax: 713-668-6248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery
License NumberBP10044092
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice
License NumberQ2911
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: