Provider Demographics
NPI:1669506226
Name:SOLIMAN, KARIM A (MD)
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:A
Last Name:SOLIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 AVONREA RD
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-2309
Mailing Address - Country:US
Mailing Address - Phone:213-393-1870
Mailing Address - Fax:626-639-0832
Practice Address - Street 1:84 S PALM AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3101
Practice Address - Country:US
Practice Address - Phone:626-280-9968
Practice Address - Fax:877-400-0565
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51512207V00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC 51512OtherMEDICAL
CA00C515120Medicaid
CA00C515120Medicaid
CAB38986Medicare UPIN