MEDICARE: DR. SAIRA KARIM DDS

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	122300000X	Dentist	010513	CT

General Provider Information

NPI Number	:	1184938714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAIRA KARIM DDS

Provider Business Mailing Address
First Line	:	1340 WASHINGTON BLVD
Second Line	:	APT 524
City	:	STAMFORD
State	:	CT
Zip	:	06902-2452
Country	:	US
Telephone Number	:	646-884-3887
Fax Number	:

Provider Business Practice Location Address
First Line	:	1340 WASHINGTON BLVD
Second Line	:	APT 524
City	:	STAMFORD
State	:	CT
Zip	:	06902
Country	:	US
Telephone Number	:	646-884-3887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2010
Last Update Date	:	06/07/2013

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