Provider Demographics
NPI:1629763842
Name:IPAYE, KAREEMAT (CCP)
Entity Type:Individual
Prefix:
First Name:KAREEMAT
Middle Name:
Last Name:IPAYE
Suffix:
Gender:F
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12808 QUEENSBURY LN APT 212
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4075
Mailing Address - Country:US
Mailing Address - Phone:405-600-8414
Mailing Address - Fax:
Practice Address - Street 1:12808 QUEENSBURY LN APT 212
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4075
Practice Address - Country:US
Practice Address - Phone:405-600-8414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
242T00000X
TXFPF02000071242T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist