Provider Demographics
NPI:1811410731
Name:KARIM, MUIZ AJIBOLA
Entity Type:Individual
Prefix:MR
First Name:MUIZ
Middle Name:AJIBOLA
Last Name:KARIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12724 N MACARTHUR BLVD APT I
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-2914
Mailing Address - Country:US
Mailing Address - Phone:405-430-5524
Mailing Address - Fax:
Practice Address - Street 1:12724 N MACARTHUR BLVD APT I
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-2914
Practice Address - Country:US
Practice Address - Phone:405-430-5524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK37V617670815376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKM083731510OtherDRIVER LICENSE