Provider Demographics
NPI:1568893121
Name:KARIM, MOHAMED (DC, BA)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:
Last Name:KARIM
Suffix:
Gender:M
Credentials:DC, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BROWN DEER TRL
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1164
Mailing Address - Country:US
Mailing Address - Phone:319-325-1690
Mailing Address - Fax:
Practice Address - Street 1:1801 BROWN DEER TRAIL
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241
Practice Address - Country:US
Practice Address - Phone:319-325-1690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor