Provider Demographics
NPI:1225008618
Name:KARIM, MOHAMMAD SHAUKAT (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:SHAUKAT
Last Name:KARIM
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 1:7255 OLD OAK BLVD
Mailing Address - Street 2:C-408
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3329
Mailing Address - Country:US
Mailing Address - Phone:440-414-9500
Mailing Address - Fax:216-201-5590
Practice Address - Street 1:7255 OLD OAK BLVD
Practice Address - Street 2:C-408
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3329
Practice Address - Country:US
Practice Address - Phone:440-414-9500
Practice Address - Fax:216-201-5590
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081305207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110241842OtherRAILROAD MEDICARE
OH727OtherSUMMA
OH000000244532OtherANTHEM
OH2345153Medicaid
OH2345153Medicaid
OH4091875Medicare PIN