MEDICARE: BASIM Z. ABDELKARIM, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	A74259	CA

General Provider Information

NPI Number	:	1063593739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BASIM Z. ABDELKARIM, M.D., INC.

Provider Business Mailing Address
First Line	:	1310 SAN BERNARDINO RD STE 103
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4985
Country	:	US
Telephone Number	:	909-920-0444
Fax Number	:	909-920-5044

Provider Business Practice Location Address
First Line	:	1310 SAN BERNARDINO RD STE 103
Second Line	:
City	:	UPLAND
State	:	CA
Zip	:	91786-4985
Country	:	US
Telephone Number	:	909-920-0444
Fax Number	:	909-920-5044

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BASIM Z ABDELKARIM
Credential	:	M.D.
Telephone Number	:	909-920-0444

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	01/14/2025

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