MEDICARE: KHALID KARIM MD 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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1588418719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KHALID KARIM MD INC

Provider Business Mailing Address
First Line	:	2204 MCCABES GRANT CT
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-8713
Country	:	US
Telephone Number	:	804-201-6706
Fax Number	:	804-522-1533

Provider Business Practice Location Address
First Line	:	2204 MCCABES GRANT CT
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-8713
Country	:	US
Telephone Number	:	804-441-9000
Fax Number	:	804-522-1533

Authorized Official
Title or Position	:	OWNER
Name	:	KHALID KARIM
Credential	:	MD
Telephone Number	:	804-441-9000

Provider Enumeration Date	:	04/15/2024
Last Update Date	:	08/30/2024

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