Provider Demographics
NPI:1164123501
Name:GRIFFIN, KAREEM BASHIR
Entity Type:Individual
Prefix:
First Name:KAREEM
Middle Name:BASHIR
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4342 VINE ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45217-1542
Mailing Address - Country:US
Mailing Address - Phone:513-293-8171
Mailing Address - Fax:
Practice Address - Street 1:4342 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45217-1542
Practice Address - Country:US
Practice Address - Phone:513-293-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health