Provider Demographics
NPI:1639788219
Name:LUBBADEH, KARIMA N (DDS)
Entity Type:Individual
Prefix:
First Name:KARIMA
Middle Name:N
Last Name:LUBBADEH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9235 CRYSTAL RIVER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-6448
Mailing Address - Country:US
Mailing Address - Phone:317-332-2920
Mailing Address - Fax:
Practice Address - Street 1:12574 PROMISE CREEK LN STE 110
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-7713
Practice Address - Country:US
Practice Address - Phone:317-537-7280
Practice Address - Fax:317-537-7287
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013398A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice