Provider Demographics
NPI:1841206695
Name:SEKKARIE, MOHAMED ABDUL KARIM (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:ABDUL KARIM
Last Name:SEKKARIE
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 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4231
Mailing Address - Country:US
Mailing Address - Phone:304-327-1873
Mailing Address - Fax:304-327-1878
Practice Address - Street 1:4235 SECOR RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4231
Practice Address - Country:US
Practice Address - Phone:419-479-5529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA85224207RN0300X
WV16273207RN0300X
OH35.148515207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0073236000Medicaid
VA010117259Medicaid
VA433215OtherANTHEM BCBS
VA433215OtherANTHEM BCBS
WVWV0019AMedicare PIN
WVB48736Medicare UPIN