Provider Demographics
NPI:1851311799
Name:WASSEF, KARIM
Entity Type:Individual
Prefix:
First Name:KARIM
Middle Name:
Last Name:WASSEF
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 1:10605 CONCORD ST STE 105
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2500
Mailing Address - Country:US
Mailing Address - Phone:301-946-7717
Mailing Address - Fax:301-946-8794
Practice Address - Street 1:10605 CONCORD ST STE 105
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2500
Practice Address - Country:US
Practice Address - Phone:301-946-7717
Practice Address - Fax:301-946-8794
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21725225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC019667YGEWMedicare PIN