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NPI Code Detail

MEDICARE: MRS. SHAZIA KARIM OD

MEDICARE:  MRS. SHAZIA  KARIM  OD
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
1152W00000XOptometrist9659TTX

General Provider Information

NPI Number : 1730740176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHAZIA KARIM OD
Provider Business Mailing Address
First Line : 1950 OLD GALLOWS RD STE 520
Second Line :
City : VIENNA
State : VA
Zip : 22182-3970
Country : US
Telephone Number : 703-847-8899
Fax Number : 571-223-6780
Provider Business Practice Location Address
First Line : 1045 W PIONEER PKWY
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75051-4706
Country : US
Telephone Number : 972-641-5606
Fax Number : 972-660-0642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 11/01/2023

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Directions to “ MRS. SHAZIA KARIM OD” Practice Location

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