Provider Demographics
NPI:1790830842
Name:KARIM, MUHAMMAD YASEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:YASEEN
Last Name:KARIM
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 1:2772 TURTLE BLUFF DRIVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELDS HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0769
Mailing Address - Country:US
Mailing Address - Phone:248-873-9196
Mailing Address - Fax:
Practice Address - Street 1:6071 W OUTER DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2624
Practice Address - Country:US
Practice Address - Phone:313-966-4797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4693010-10Medicaid