Provider Demographics
NPI:1073706495
Name:ABDELKARIM, MURRAD (MD)
Entity Type:Individual
Prefix:
First Name:MURRAD
Middle Name:
Last Name:ABDELKARIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3475 TORRANCE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-5800
Mailing Address - Country:US
Mailing Address - Phone:310-370-3568
Mailing Address - Fax:310-540-0676
Practice Address - Street 1:3475 TORRANCE BLVD STE A
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5800
Practice Address - Country:US
Practice Address - Phone:310-370-3568
Practice Address - Fax:310-540-0676
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97044207R00000X, 207RI0011X
WI61063207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAM050376OtherGROUP
CADA6447OtherRRM
CAAN124ZMedicare PIN
WI68375Medicare PIN