MEDICARE: CHRISTINE ABDULKARIM RD

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	133V00000X	Registered Dietitian	86110977	NV

General Provider Information

NPI Number	:	1932988250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ABDULKARIM RD

Provider Business Mailing Address
First Line	:	9901 W SAHARA AVE APT 2089
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5912
Country	:	US
Telephone Number	:	702-417-7568
Fax Number	:

Provider Business Practice Location Address
First Line	:	2520 SAINT ROSE PKWY # 2089
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-7783
Country	:	US
Telephone Number	:	702-665-2781
Fax Number	:

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

Provider Enumeration Date	:	09/26/2023
Last Update Date	:	09/26/2023

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