Provider Demographics
NPI:1639495674
Name:MAHMOOD KARIMI, NJ MD PA
Entity Type:Organization
Organization Name:MAHMOOD KARIMI, NJ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMOOD
Authorized Official - Middle Name:M
Authorized Official - Last Name:KARIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:201-391-6700
Mailing Address - Street 1:50 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8021
Mailing Address - Country:US
Mailing Address - Phone:201-391-6700
Mailing Address - Fax:201-391-4784
Practice Address - Street 1:50 KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8021
Practice Address - Country:US
Practice Address - Phone:201-391-6700
Practice Address - Fax:201-391-4784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03885100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty