Provider Demographics
NPI:1780670562
Name:KARIM, NILA (MD)
Entity Type:Individual
Prefix:
First Name:NILA
Middle Name:
Last Name:KARIM
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 1:29 CRAFTS ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1275
Mailing Address - Country:US
Mailing Address - Phone:617-964-7530
Mailing Address - Fax:671-964-5479
Practice Address - Street 1:29 CRAFTS ST
Practice Address - Street 2:SUITE 400
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1275
Practice Address - Country:US
Practice Address - Phone:617-964-7530
Practice Address - Fax:671-964-5479
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158277207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9770585Medicaid
G21099Medicare UPIN
MA9770585Medicaid