Provider Demographics
NPI:1295395390
Name:ISSA, KARIM KARAM TELEB HUSSEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIM
Middle Name:KARAM TELEB HUSSEIN
Last Name:ISSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:189 BERDAN AVE UNIT 169
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3233
Mailing Address - Country:US
Mailing Address - Phone:973-363-2029
Mailing Address - Fax:
Practice Address - Street 1:245 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2253
Practice Address - Country:US
Practice Address - Phone:732-516-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11283700208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine