Provider Demographics
NPI:1598389074
Name:AWAD ELKARIM, ALAA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAA
Middle Name:
Last Name:AWAD ELKARIM
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 1:3901 BEAUBIEN ST. 3T72
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-745-1892
Mailing Address - Fax:313-993-7118
Practice Address - Street 1:3901 BEAUBIEN ST. 3T72
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-745-1892
Practice Address - Fax:313-993-7118
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2022-02-01
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-02-01
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program