Provider Demographics
NPI:1417165796
Name:KARIM, SYED MUSTAFA (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:MUSTAFA
Last Name:KARIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19550 E 39TH ST S
Mailing Address - Street 2:SUITE 315
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-2358
Mailing Address - Country:US
Mailing Address - Phone:816-698-8290
Mailing Address - Fax:816-698-8291
Practice Address - Street 1:19550 E 39TH ST S
Practice Address - Street 2:SUITE 315
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-2358
Practice Address - Country:US
Practice Address - Phone:816-698-8290
Practice Address - Fax:816-698-8291
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063597207R00000X
KS0438857207RX0202X
MO2015040949207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine