Provider Demographics
NPI:1588814628
Name:KARIM, ZAKIYA S (MD)
Entity Type:Individual
Prefix:
First Name:ZAKIYA
Middle Name:S
Last Name:KARIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3708 FORESTVIEW RD STE 207
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-2391
Mailing Address - Country:US
Mailing Address - Phone:919-781-8780
Mailing Address - Fax:919-781-8782
Practice Address - Street 1:3708 FORESTVIEW RD STE 207
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2391
Practice Address - Country:US
Practice Address - Phone:197-818-7809
Practice Address - Fax:919-781-8782
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40766208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ389687Medicaid
AZZ127202Medicare PIN