MEDICARE: DR. SYED MUSTAFA KARIM M.D.

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	207RX0202X	Medical Oncology Physician	2015040949	MO
2	207R00000X	Internal Medicine Physician	D0063597	MD
3	207RX0202X	Medical Oncology Physician	0438857	KS

General Provider Information

NPI Number	:	1417165796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SYED MUSTAFA KARIM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 749495
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9495
Country	:	US
Telephone Number	:	855-963-2100
Fax Number	:	813-321-1296

Provider Business Practice Location Address
First Line	:	17053 S OUTER RD FL 1
Second Line	:
City	:	BELTON
State	:	MO
Zip	:	64012-2165
Country	:	US
Telephone Number	:	816-974-5050
Fax Number	:	816-388-9369

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	01/22/2026

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