Healthcare Provider Details

I. General information

NPI: 1073690079
Provider Name (Legal Business Name): NAYEEM KARIM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 E CAWSON ST
HOPEWELL VA
23860-2814
US

IV. Provider business mailing address

PO BOX 11768
RICHMOND VA
23230-0168
US

V. Phone/Fax

Practice location:
  • Phone: 804-452-4546
  • Fax: 804-452-4549
Mailing address:
  • Phone: 804-353-4000
  • Fax: 804-213-9783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2016-00091
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number0102201948
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: