Provider Demographics
NPI:1558657676
Name:LOTFY MOHAMMED, KARIM GALAL (MD)
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:GALAL
Last Name:LOTFY MOHAMMED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15 ILAHEE LN STE 150
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7205
Mailing Address - Country:US
Mailing Address - Phone:619-272-0400
Mailing Address - Fax:
Practice Address - Street 1:9095 RIO SAN DIEGO DR STE 250
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1699
Practice Address - Country:US
Practice Address - Phone:619-272-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1349202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA134920OtherMEDICAL LICENSE