Provider Demographics
NPI:1164559688
Name:HIRANI, KARIMA (MD, MPH)
Entity Type:Individual
Prefix:MRS
First Name:KARIMA
Middle Name:
Last Name:HIRANI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12732-B W. WASHINGTON BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-2378
Mailing Address - Country:US
Mailing Address - Phone:310-577-0753
Mailing Address - Fax:310-577-0724
Practice Address - Street 1:12732-B W. WASHINGTON BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-2378
Practice Address - Country:US
Practice Address - Phone:310-577-0753
Practice Address - Fax:310-577-0724
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79715207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G48137Medicare UPIN